Individual
CRYSTAL WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10425 QUEENS BLVD, FOREST HILLS, NY 11375-3757
(718) 896-7901
Mailing address
10425 QUEENS BLVD, FOREST HILLS, NY 11375-3757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058407
NY
Other
Enumeration date
08/13/2013
Last updated
10/23/2013
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