Individual
GRACE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6475 AUSTIN ST APT M1, REGO PARK, NY 11374-4195
(347) 436-8335
Mailing address
17020 CROCHERON AVE APT 106, FLUSHING, NY 11358-2268
(917) 855-7467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342655
NY
Other
Enumeration date
02/21/2017
Last updated
04/21/2026
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