Individual
KEVIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
156 BEACH 9TH ST # 2, FAR ROCKAWAY, NY 11691-5636
(718) 686-3149
(718) 686-4149
Mailing address
156 BEACH 9TH ST # 2, FAR ROCKAWAY, NY 11691-5636
(718) 686-3149
(718) 686-4170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403308
NY
Other
Enumeration date
08/23/2019
Last updated
09/02/2024
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