Individual
JIPENG WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5738 246TH CRES, DOUGLASTON, NY 11362-1908
(347) 466-0358
Mailing address
5738 246TH CRES, DOUGLASTON, NY 11362-1908
(347) 466-0358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029451
NY
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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