Individual ProviderAnatoliy LadyzhenskiyPharmacistPharmacy Service ProvidersPractice Address168 Montague St, Brooklyn, NY 11201-3615(718) 855-3252PECOS EnrollmentBased on the most recent information from CMS, provider Anatoliy Ladyzhenskiy 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 ID1326641911Provider TypeIndividualFull NameLadyzhenskiy, AnatoliyTitleMr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date11/17/2020Last Updated11/17/2020Contact InformationPractice LocationPractice Address168 Montague St, Brooklyn, NY 11201-3615Phone(718) 855-3252FaxUnlisted FaxMailing LocationMailing Address168 Montague St, Brooklyn, NY 11201-3615Phone(718) 855-3252FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense064411New York