Individual
XIANLONG WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1597 YORK AVE, NEW YORK, NY 10028-6236
(917) 498-2251
Mailing address
14125 NORTHERN BLVD APT F12, FLUSHING, NY 11354-4246
(917) 498-2251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
003125
NY
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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