Individual
ALAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
771 BLACKSTONE AVE, EAST MEADOW, NY 11554-5108
(718) 309-1427
Mailing address
771 BLACKSTONE AVE, EAST MEADOW, NY 11554-5108
(718) 309-1427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
837616
NY
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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