Individual
BAORONG WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5665 136TH ST FL 2, FLUSHING, NY 11355-5028
(718) 908-3195
Mailing address
56-65 136 STREET 2FL, FLUSHING, NY 11355
(718) 908-3195
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005300-1
NY
Other
Enumeration date
12/31/2015
Last updated
07/30/2024
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