Individual ProviderMira Mofid ShenoudaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address43 New Scotland Avenue, Dept. Of Neurology, Mail Code: 70, Albany, NY 12208(518) 262-6488PECOS EnrollmentBased on the most recent information from CMS, provider Mira Mofid Shenouda 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 ID1033812292Provider TypeIndividualFull NameShenouda, Mira MofidGenderFemaleSole ProprietorNoEnumeration Date3/24/2023Last Updated3/24/2023Contact InformationPractice LocationPractice Address43 New Scotland Avenue, Dept. Of Neurology, Mail Code: 70, Albany, NY 12208Phone(518) 262-6488FaxUnlisted FaxMailing LocationMailing Address43 New Scotland Avenue, Dept. Of Neurology, Mail Code: 70, Albany, NY 12208Phone(518) 262-6488FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64829New York