Individual ProviderGuanming QiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4246(781) 475-7942PECOS EnrollmentBased on the most recent information from CMS, provider Guanming Qi 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 5 days ago.Profile DetailsProvider ID1053007088Provider TypeIndividualFull NameQi, GuanmingCredentialMD, PHDGenderMaleSole ProprietorNoEnumeration Date4/13/2023Last Updated4/13/2023Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4246Phone(781) 475-7942FaxUnlisted FaxMailing LocationMailing Address112 Maple St, Malden, MA 02148-3841Phone(781) 475-7942FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer