OrganizationGeorge LumInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address136-30 Maple Ave, Flushing, NY 11355(718) 267-0510PECOS EnrollmentBased on the most recent information from CMS, provider George Lum 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 5 days ago.Profile DetailsProvider ID1861640419Provider TypeOrganizationFull NameGeorge LumSubpartNoEnumeration Date9/8/2008Last Updated9/8/2008Contact InformationPractice LocationPractice Address136-30 Maple Ave, Flushing, NY 11355Phone(718) 267-0510FaxUnlisted FaxMailing LocationMailing Address136-30 Maple Ave, Flushing, NY 11355Phone(718) 267-0510FaxUnlisted FaxAuthorized OfficialNameLum, George (Owner)Phone(718) 267-0510Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID01041372DescriptionMedicaidIssuerUnlistedNew York