Individual ProviderPhilip PolanskyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2508(718) 630-7000(718) 801-1645PECOS EnrollmentBased on the most recent information from CMS, provider Philip Polansky is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1437678786Provider TypeIndividualFull NamePolansky, PhilipCredentialPAGenderMaleSole ProprietorNoEnumeration Date9/18/2017Last Updated6/1/2023Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2508Phone(718) 630-7000FaxUnlisted FaxMailing LocationMailing Address1469 E 14th St Apt 3, Brooklyn, NY 11230-6609Phone(718) 801-1645FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense021320New York