Individual ProviderWilliam LundbergStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressDept. Of Emergency Medicine, 43 New Scotland Avenue, Albany, NY 12208(518) 262-6455PECOS EnrollmentBased on the most recent information from CMS, provider William Lundberg 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 ID1346094596Provider TypeIndividualFull NameLundberg, WilliamGenderMaleSole ProprietorNoEnumeration Date4/15/2024Last Updated4/15/2024Contact InformationPractice LocationPractice AddressDept. Of Emergency Medicine, 43 New Scotland Avenue, Albany, NY 12208Phone(518) 262-6455FaxUnlisted FaxMailing LocationMailing AddressDept. Of Emergency Medicine, 43 New Scotland Avenue, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64970