Individual
CHANG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 N 12TH ST STE 507, BROOKLYN, NY 11249-1002
(914) 266-0524
Mailing address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
(914) 266-0524
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
304706
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
08/25/2025
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