Individual
ALICE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(718) 490-4063
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067876
NY
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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