OrganizationHaiou Duan Medical P.C.SpecialistOther Service ProvidersPractice Address5314 7th Ave, 2nd Floor, Brooklyn, NY 11220-2599(347) 689-9112PECOS EnrollmentBased on the most recent information from CMS, provider Haiou Duan Medical P.C. 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 ID1124448576Provider TypeOrganizationFull NameHaiou Duan Medical P.C.SubpartNoEnumeration Date4/24/2014Last Updated10/15/2014Contact InformationPractice LocationPractice Address5314 7th Ave, 2nd Floor, Brooklyn, NY 11220-2599Phone(347) 689-9112Fax(347) 689-2703Mailing LocationMailing Address7101 Shore Rd Apt 5c, Brooklyn, NY 11209-1815Phone(347) 689-9112Fax(347) 689-2703Authorized OfficialNameDuan, Haiou (Owner/Manager)Phone(347) 689-9112Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense262130New YorkProvider IdentifiersIDDescriptionIssuerID03866942DescriptionMedicaidIssuerUnlistedNew York