Individual
DR. XI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 626, ROCHESTER, NY 14642-0001
(585) 273-1802
(585) 273-3637
Mailing address
601 ELMWOOD AVE, BOX 626, ROCHESTER, NY 14642-0001
(585) 273-1802
(585) 273-3637
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
222081
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
222081-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RB2483
MEDICARE PTAN
NY
Enumeration date
09/19/2006
Last updated
07/05/2023
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