Individual
MISS NA WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
6445 SPRINGFIELD BLVD, BAYSIDE, NY 11364-2337
(626) 215-3602
Mailing address
11 BROADWAY STE 336, NEW YORK, NY 10004-1549
(626) 215-3602
(212) 361-0019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
006157
NY
171100000X
Acupuncturist
Primary
006157
NY
Other
Enumeration date
11/05/2018
Last updated
11/20/2019
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