Individual
WEN YI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11614 MYRTLE AVE, RICHMOND HILL, NY 11418-1748
(718) 846-0606
(718) 846-8684
Mailing address
11614 MYRTLE AVE, RICHMOND HILL, NY 11418-1748
(718) 846-0606
(718) 846-8684
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
196198-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
196198-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854517
—
NY
Enumeration date
04/13/2006
Last updated
09/28/2021
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