Individual
XIAODONG WANG SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4844 186TH ST, FRESH MEADOWS, NY 11365-1109
(718) 869-3607
Mailing address
4844 186TH ST, FRESH MEADOWS, NY 11365-1923
(718) 869-3607
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007337
NY
225700000X
Massage Therapist
031856
NY
Other
Enumeration date
10/09/2019
Last updated
09/05/2023
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