Individual ProviderShuhua SongInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4161 Kissena Blvd Ste C, Flushing, NY 11355-3105(718) 878-6920PECOS EnrollmentBased on the most recent information from CMS, provider Shuhua Song 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 ID1902216328Provider TypeIndividualFull NameSong, ShuhuaTitleDr.CredentialM.B.GenderFemaleSole ProprietorNoEnumeration Date5/7/2014Last Updated2/1/2024Contact InformationPractice LocationPractice Address4161 Kissena Blvd Ste C, Flushing, NY 11355-3105Phone(718) 878-6920Fax(718) 878-6920Mailing LocationMailing AddressPO Box 604675, Bayside, NY 11360-4675Phone(718) 878-6920Fax(718) 878-6920Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense289940New YorkCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense289940New York