Individual
MR. DA WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13336 41ST RD STE 1B, FLUSHING, NY 11355-3661
(516) 581-9835
Mailing address
11 WILLETS DR, SYOSSET, NY 11791-3913
(516) 581-9835
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
256826
NY
Other
Enumeration date
05/03/2010
Last updated
02/04/2011
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