Individual
YIWEN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-14 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
(718) 779-1600
Mailing address
9114 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
(415) 530-6456
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-57313
NY
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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