# JW ESSENCE MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568121283
- **Authorized official:** JIANG WANG DO (CEO)
- **Authorized official phone:** (718) 210-3688

## Contact information

- **Practice address:** 13620 MAPLE AVE STE C303, FLUSHING, NY 11355-5166
- **Practice address phone:** (917) 348-0698
- **Mailing address:** 4340 UNION ST APT 1F, FLUSHING, NY 11355-7031
- **Mailing address phone:** (917) 348-0698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 04/24/2024