Individual
HAISU WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 ROCHESTER AVE, BROOKLYN, NY 11213-3102
(718) 771-2090
Mailing address
236 W 135TH ST, NEW YORK, NY 10030-2822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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