Individual
GARY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 MAIN ST, SUITE 112, BUFFALO, NY 14214-2693
(716) 832-1000
(716) 832-1001
Mailing address
2121 MAIN ST, SUITE 210 SETON BLDG, BUFFALO, NY 14214-2693
(716) 832-1000
(716) 832-1001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
216631-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02119762
—
NY
Enumeration date
01/28/2006
Last updated
01/13/2023
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