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Individual

CHONGYANG WEI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
4245 KISSENA BLVD, APT 4N, FLUSHING, NY 11355-3243
(917) 868-8008
Mailing address
4245 KISSENA BLVD, APT 4N, FLUSHING, NY 11355-3243
(917) 868-8008

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660852
NY
164W00000X
Licensed Practical Nurse
302731
NY

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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