Individual
GEORGE L. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3714
(631) 351-3821
Mailing address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3714
(631) 351-3821
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
233723-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02618591
—
NY
Enumeration date
08/08/2006
Last updated
07/08/2007
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