Individual ProviderMi Na SonInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4500 Parsons Blvd, Flushing, NY 11355-2205(718) 670-3000PECOS EnrollmentBased on the most recent information from CMS, provider Mi Na Son 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 5 days ago.Profile DetailsProvider ID1801067707Provider TypeIndividualFull NameSon, Mi NaTitleDr.CredentialM.DGenderFemaleSole ProprietorNoEnumeration Date3/19/2008Last Updated3/19/2008Contact InformationPractice LocationPractice Address4500 Parsons Blvd, Flushing, NY 11355-2205Phone(718) 670-3000Fax(718) 670-4510Mailing LocationMailing Address4500 Parsons Blvd, Flushing, NY 11355-2205Phone(718) 670-3000Fax(718) 670-4510Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseD00666963Maryland