Individual
MRS. JESSICA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 E 34TH ST LOWR LEVEL, NEW YORK, NY 10016-4744
(212) 731-5014
Mailing address
160 E 34TH ST LOWR LEVEL, NEW YORK, NY 10016-4744
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309808
NY
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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