Individual ProviderMaya TrifonovSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1350 Bay Ridge Pkwy, Brooklyn, NY 11228-2211(718) 232-2657PECOS EnrollmentBased on the most recent information from CMS, provider Maya Trifonov is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:18 AM.Profile DetailsProvider ID1528123205Provider TypeIndividualFull NameTrifonov, MayaCredentialSOCIAL WORKERGenderFemaleSole ProprietorYesEnumeration Date12/24/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1350 Bay Ridge Pkwy, Brooklyn, NY 11228-2211Phone(718) 232-2657FaxUnlisted FaxMailing LocationMailing Address1350 Bay Ridge Pkwy, Brooklyn, NY 11228-2211Phone(718) 232-2657FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseR047562-1New York