OrganizationBe Evergreen Medical PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address13329 41st Rd Ste 1a, Flushing, NY 11355-3671(718) 886-8180PECOS EnrollmentBased on the most recent information from CMS, provider Be Evergreen Medical Pc 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 ID1346641172Provider TypeOrganizationFull NameBe Evergreen Medical PcSubpartNoEnumeration Date9/11/2014Last Updated1/5/2015Contact InformationPractice LocationPractice Address13329 41st Rd Ste 1a, Flushing, NY 11355-3671Phone(718) 886-8180FaxUnlisted FaxMailing LocationMailing Address13329 41st Rd Ste 1a, Flushing, NY 11355-3671Phone(718) 886-8180FaxUnlisted FaxAuthorized OfficialNameZhu, Anna (Manager)Phone(718) 886-8180Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense198832New York