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Organization
SPARK PSYCHIATRY PLLC
Active
Organization
SPARK PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANG WANG MD (OWNER)
(914) 266-0524
Entity
Organization
Contact information
Practice address
220 5TH AVENUE, FLOOR 11, NEW YORK, NY 10001
(914) 266-0524
Mailing address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
(914) 266-0524
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/22/2024
Last updated
05/12/2025
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