Individual ProviderShan HuangSurgeryAllopathic & Osteopathic PhysiciansPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 493-7000(516) 417-3436PECOS EnrollmentBased on the most recent information from CMS, provider Shan Huang 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 12:14 PM.Profile DetailsProvider ID1942659479Provider TypeIndividualFull NameHuang, ShanTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date6/6/2016Last Updated9/15/2022Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 493-7000FaxUnlisted FaxMailing LocationMailing Address330 E 70th St Apt 3g, New York, NY 10021-8638Phone(516) 417-3436FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense76281MontanaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer