Individual
DR. TINA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
180 FORT WASHINGTON AVE, NEW YORK, NY 10032-3722
(212) 305-8039
(212) 305-1754
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-8039
(212) 305-1754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
295277
NY
207RI0200X
Infectious Disease Physician
Primary
295277
NY
Other
Enumeration date
03/25/2014
Last updated
10/07/2020
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