Individual ProviderHeather ShamsStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1051 Riverside Dr # 103, New York, NY 10032-1007(646) 774-6300(513) 543-3979PECOS EnrollmentBased on the most recent information from CMS, provider Heather Shams 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 2 days ago.Profile DetailsProvider ID1154178267Provider TypeIndividualFull NameShams, HeatherTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date5/6/2024Last Updated5/6/2024Contact InformationPractice LocationPractice Address1051 Riverside Dr # 103, New York, NY 10032-1007Phone(646) 774-6300FaxUnlisted FaxMailing LocationMailing Address1900 Baity Hill Dr Apt 122, Chapel Hill, NC 27514-3962Phone(513) 543-3979FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer