Organization
ACTTC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JING WANG MSOTR/L (MANAGER)
(201) 463-9594
Entity
Organization
Contact information
Practice address
277 GRAND ST, SUITE 205, NEW YORK, NY 10002-4417
(201) 463-9594
Mailing address
50 HEATH ST, BUFFALO, NY 14214-1105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008375-1
NY
174400000X
Specialist
46TR00287300
NJ
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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