Individual ProviderJames WangPharmacistPharmacy Service ProvidersPractice Address83 Amity St, Brooklyn, NY 11201-6004(646) 754-7991PECOS EnrollmentBased on the most recent information from CMS, provider James Wang 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 4 days ago.Profile DetailsProvider ID1346629839Provider TypeIndividualFull NameWang, JamesCredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date5/29/2015Last Updated5/29/2015Contact InformationPractice LocationPractice Address83 Amity St, Brooklyn, NY 11201-6004Phone(646) 754-7991FaxUnlisted FaxMailing LocationMailing Address1006 Bergen St Apt 3, Brooklyn, NY 11216-2904PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense054041New York