Individual
BEVERLY Y WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 NATHAN D PERLMAN PLACE, SUITE 12S34, NEW YORK, NY 10003-3851
(212) 420-2124
(212) 420-3449
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(770) 666-9097
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
209288
NY
207ZP0101X
Anatomic Pathology Physician
209288
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
209288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02460750
—
NY
01
—
A400054876
NGS
NY
Enumeration date
02/24/2006
Last updated
12/20/2011
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