Individual
JENNIFER WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
ONE GUSTAVE LEVY PLACE, DEPARTMENT OF SURGERY, 1264, NEW YORK, NY 10029
(212) 241-8867
(212) 860-3669
Mailing address
ONE GUSTAVE LEVY PLACE, 1264, NEW YORK, NY 10029
(212) 241-8867
(212) 860-3669
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
275058
NY
2086S0102X
Surgical Critical Care Physician
Primary
275058
NY
Other
Enumeration date
01/12/2012
Last updated
12/04/2020
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