Organization
DR SHIH WANG PHYSICIAN PC
Active
Other names
DOCTORS IMMEDICARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIH WANG M.D. (DIRECTOR)
(516) 565-4110
Entity
Organization
Contact information
Practice address
199 HEMPSTEAD TPKE, WEST HEMPSTEAD, NY 11552-1536
(516) 565-4110
(516) 565-3313
Mailing address
199 HEMPSTEAD TPKE, WEST HEMPSTEAD, NY 11552-1536
(516) 565-4110
(516) 565-3313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
149936
NY
207Q00000X
Family Medicine Physician
215157
NY
207Q00000X
Family Medicine Physician
221486
NY
207Q00000X
Family Medicine Physician
246635
NY
207R00000X
Internal Medicine Physician
211410
NY
207R00000X
Internal Medicine Physician
244755
NY
208100000X
Physical Medicine & Rehabilitation Physician
213149
NY
Other
Enumeration date
07/05/2007
Last updated
06/11/2009
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