Individual
MRS. VANESSA Y. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
136-20 38TH AVE 6K, FLUSHING, NY 11354
(718) 358-0885
(718) 358-0408
Mailing address
6 ALEXANDER DR., SYOSSET, NY 11791
(917) 664-4829
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F307661-1
NY
Other
Enumeration date
03/21/2017
Last updated
07/02/2019
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