Individual ProviderShirley BotrosStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address47 New Scotland Avenue, Dept. Of Internal Medicine, Albany, NY 12208(518) 262-5377PECOS EnrollmentBased on the most recent information from CMS, provider Shirley Botros 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 3 days ago.Profile DetailsProvider ID1033793625Provider TypeIndividualFull NameBotros, ShirleyTitleDr.CredentialDOGenderFemaleSole ProprietorNoEnumeration Date5/10/2021Last Updated5/10/2021Contact InformationPractice LocationPractice Address47 New Scotland Avenue, Dept. Of Internal Medicine, Albany, NY 12208Phone(518) 262-5377FaxUnlisted FaxMailing LocationMailing Address47 New Scotland Ave, Dept Of Internal Medicine, Albany, NY 12208Phone(518) 262-5377FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64424New York