Individual
ANNIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 1ST ST RM 291, MINEOLA, NY 11501-3957
(516) 663-8963
(516) 663-8964
Mailing address
259 1ST ST RM 291, MINEOLA, NY 11501-3957
(516) 663-8963
(516) 663-8964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
327039
NY
208M00000X
Hospitalist Physician
327039
NY
Other
Enumeration date
05/07/2021
Last updated
11/22/2024
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