Individual
DANNY C WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2833 WYNSUM AVE, MERRICK, NY 11566-5408
(562) 650-5999
(717) 812-2244
Mailing address
2833 WYNSUM AVE, MERRICK, NY 11566-5408
(562) 650-5999
(717) 812-2244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
260040
NY
2085R0204X
Vascular & Interventional Radiology Physician
260040
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD445965
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056654300
—
MD
05
—
102723210
—
PA
01
—
1607763
GATEWAY
PA
01
—
2711042
HIGHMARK BLUE SHIELD
PA
01
—
30120393
AMERIHEALTH MERCY - WMG
PA
01
—
418503
UPMC
PA
Enumeration date
06/03/2008
Last updated
12/22/2021
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