Individual ProviderLinda WangInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address17 E 102nd St, New York, NY 10029-5204(212) 659-8551(646) 605-8186PECOS EnrollmentBased on the most recent information from CMS, provider Linda Wang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1154664803Provider TypeIndividualFull NameWang, LindaCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date4/1/2013Last Updated4/21/2021Contact InformationPractice LocationPractice Address17 E 102nd St, New York, NY 10029-5204Phone(212) 659-8551Fax(212) 831-8116Mailing LocationMailing Address150 E 42nd St Fl 9, New York, NY 10017-5699Phone(646) 605-8186FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense284463New YorkCode207RA0401XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense284463New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer