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Organization
EVERGREEN WELLNESS HEALTH LLC
Active
Organization
EVERGREEN WELLNESS HEALTH LLC
Active
Other names
Betty Wang MD
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, 11TH FLOOR, OFFICE #23, NEW YORK, NY 10001
(914) 266-0524
(757) 432-3277
Mailing address
1 NORTHSIDE PIERS, APT 14E, BROOKLYN, NY 11249
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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