Look up the most recent NPI and PECOS records

Shirly Pallas

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Shirly Pallas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1477068781
Provider Type
Individual
Full Name
Pallas, Shirly
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/8/2017
Last Updated
12/8/2017

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 021081 New York

Shirly Pallas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bruccoleri, Adam R

Otterbeck, Victoria Angela

Scalici, Claudia

Tantawi, Nada Sherif

Castro, Cecilia R

Babu, Archana

Guarnera, Grazia

Yeung, Tszman

Gregory, Krista Ann

Raineri, Caterina O