355 BARD AVENUE, DEP'T OF MEDICINE VILLA B'DG 1ST FLOOR
STATEN ISLAND, NY 10310-1664 US PECOS Enrolled
Maryline Shang NformI
Internal Medicine Physician
- STATEN ISLAND, NY
- Phone: (718)-818-2419
- Last Updated 7/21/2022
Overview
Maryline Shang NformI is a Internal Medicine Physician in the STATEN ISLAND area and has over 25 years of experience. Maryline Shang NformI primary office location is at 355 BARD AVENUE, DEP'T OF MEDICINE VILLA B'DG 1ST FLOOR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2000
Maryline Shang NformI is affiliated with two hospitals in the STATEN ISLAND area, including MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER. The NPI number is 1114386265 and the information was updated approximately 3 years ago.
Maryline Shang NformI is part of two medical groups, including MARY WASHINGTON MEDICAL GROUP HOSPITALIST SERVICES, LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| D89827 | MD |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | MD | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20200819003540 |
| PECOS Individual PAC ID: | 2163720525 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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