Individual ProviderCrystal C WangStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1051 Riverside Dr, New York, NY 10032-1007(646) 774-5000PECOS EnrollmentBased on the most recent information from CMS, provider Crystal C Wang 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 yesterday at 10:05 AM.Profile DetailsProvider ID1467205021Provider TypeIndividualFull NameWang, Crystal CCredentialMDGenderFemaleSole ProprietorYesEnumeration Date4/11/2024Last Updated4/11/2024Contact InformationPractice LocationPractice Address1051 Riverside Dr, New York, NY 10032-1007Phone(646) 774-5000FaxUnlisted FaxMailing LocationMailing Address1051 Riverside Dr, New York, NY 10032-1007PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer