Individual ProviderElise Meena KimPharmacistPharmacy Service ProvidersPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5425(718) 250-8000PECOS EnrollmentBased on the most recent information from CMS, provider Elise Meena Kim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174963201Provider TypeIndividualFull NameKim, Elise MeenaCredentialPHARM.D.GenderFemaleSole ProprietorNoEnumeration Date7/3/2013Last Updated7/3/2013Contact InformationPractice LocationPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5425Phone(718) 250-8000FaxUnlisted FaxMailing LocationMailing Address121 Dekalb Ave, Brooklyn, NY 11201-5425Phone(718) 250-8000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense057083New York