Individual ProviderWinston WuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address13324 Sanford Ave, Suite 1 K, Flushing, NY 11355-3650(917) 754-5481PECOS EnrollmentBased on the most recent information from CMS, provider Winston 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 6 days ago.Profile DetailsProvider ID1376824698Provider TypeIndividualFull NameWu, WinstonTitleDr.CredentialM.DGenderMaleSole ProprietorYesEnumeration Date8/31/2011Last Updated5/2/2017Contact InformationPractice LocationPractice Address13324 Sanford Ave, Suite 1 K, Flushing, NY 11355-3650Phone(917) 754-5481FaxUnlisted FaxMailing LocationMailing Address13324 Sanford Ave, Suite 1 K, Flushing, NY 11355-3650Phone(917) 754-5481FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense265647New YorkProvider IdentifiersIDDescriptionIssuerID03799891DescriptionMedicaidIssuerUnlistedNew York