OrganizationXiandong Shi MdInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address13336 41st Rd, Unit 2g, Flushing, NY 11355-3666(718) 889-6368PECOS EnrollmentBased on the most recent information from CMS, provider Xiandong Shi Md 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 6 days ago.Profile DetailsProvider ID1225215809Provider TypeOrganizationFull NameXiandong Shi MdSubpartNoEnumeration Date1/26/2008Last Updated1/26/2008Contact InformationPractice LocationPractice Address13336 41st Rd, Unit 2g, Flushing, NY 11355-3666Phone(718) 889-6368FaxUnlisted FaxMailing LocationMailing Address13336 41st Rd, Unit 2g, Flushing, NY 11355-3666Phone(718) 889-6368FaxUnlisted FaxAuthorized OfficialNameShi, Xiandong (President)Phone(718) 889-6368Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense247287New York