Individual
CHESTER WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
585 MERRICK RD, LYNBROOK, NY 11563-2311
(516) 764-2273
Mailing address
585 MERRICK RD, LYNBROOK, NY 11563-2311
(855) 642-3362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
251081
NY
Other
Enumeration date
05/27/2008
Last updated
06/19/2015
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