Individual ProviderLyman WuStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address43 New Scotland Avenue, Department Of Pediatrics, Albany, NY 12208(518) 262-5626PECOS EnrollmentBased on the most recent information from CMS, provider Lyman Wu 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 ID1346990090Provider TypeIndividualFull NameWu, LymanTitleDr.CredentialDOGenderMaleSole ProprietorYesEnumeration Date3/25/2022Last Updated3/25/2022Contact InformationPractice LocationPractice Address43 New Scotland Avenue, Department Of Pediatrics, Albany, NY 12208Phone(518) 262-5626FaxUnlisted FaxMailing LocationMailing Address43 New Scotland Avenue, Department Of Pediatrics, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64696New York