Individual ProviderYelena RafailovaPharmacistPharmacy Service ProvidersPractice Address559 Fulton St, Brooklyn, NY 11201-5309(718) 643-9505PECOS EnrollmentBased on the most recent information from CMS, provider Yelena Rafailova 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 4 days ago.Profile DetailsProvider ID1710204169Provider TypeIndividualFull NameRafailova, YelenaTitleDr.CredentialPHARMDGenderFemaleSole ProprietorYesEnumeration Date4/26/2010Last Updated8/31/2015Contact InformationPractice LocationPractice Address559 Fulton St, Brooklyn, NY 11201-5309Phone(718) 643-9505Fax(718) 643-1383Mailing LocationMailing Address559 Fulton St, Brooklyn, NY 11201-5309Phone(718) 643-9505Fax(718) 643-1383Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense052027New York