Individual ProviderOishee BoseFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address632 Broadway, New York, NY 10012-2614(212) 432-5847(408) 505-9572PECOS EnrollmentBased on the most recent information from CMS, provider Oishee Bose 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 yesterday at 9:15 AM.Profile DetailsProvider ID1902393507Provider TypeIndividualFull NameBose, OisheeCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/18/2018Last Updated9/10/2021Contact InformationPractice LocationPractice Address632 Broadway, New York, NY 10012-2614Phone(212) 432-5847FaxUnlisted FaxMailing LocationMailing Address80 Dekalb Ave Apt 19a, Brooklyn, NY 11201-5455Phone(408) 505-9572FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense311817New YorkProvider IdentifiersIDDescriptionIssuerID13-3971298DescriptionOtherIssuerTISCHNew York