Individual ProviderCyrus PoliakoffSocial WorkerBehavioral Health & Social Service ProvidersPractice Address276 5th Avenue, Ste 507, Office 4, New York, NY 10001(917) 342-2149(650) 815-9334PECOS EnrollmentBased on the most recent information from CMS, provider Cyrus Poliakoff 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 yesterday at 2:56 PM.Profile DetailsProvider ID1477960805Provider TypeIndividualFull NamePoliakoff, CyrusCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date7/17/2014Last Updated10/28/2019Contact InformationPractice LocationPractice Address276 5th Avenue, Ste 507, Office 4, New York, NY 10001Phone(917) 342-2149FaxUnlisted FaxMailing LocationMailing Address257 Powers St Fl 1, Brooklyn, NY 11211-5035Phone(650) 815-9334FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense087936-1New YorkCode102L00000XDescriptionPsychoanalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer