Individual ProviderVivian ShieStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address47 New Scotland Avenue, Dept. Of Pyschiatry, Albany, NY 12208(518) 262-5511PECOS EnrollmentBased on the most recent information from CMS, provider Vivian Shie is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1386271195Provider TypeIndividualFull NameShie, VivianGenderFemaleSole ProprietorNoEnumeration Date3/24/2020Last Updated3/24/2020Contact InformationPractice LocationPractice Address47 New Scotland Avenue, Dept. Of Pyschiatry, Albany, NY 12208Phone(518) 262-5511FaxUnlisted FaxMailing LocationMailing Address47 New Scotland Avenue, Dept. Of Pyschiatry, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer