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Individual

LINDA WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
18005 HILLSIDE AVE, JAMAICA, NY 11432-4727
(516) 542-6880
(516) 542-5556
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
202706
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01920263
NY
Enumeration date
06/27/2006
Last updated
03/19/2013
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