Individual
CHENYU WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
9805 63RD RD APT 11G, REGO PARK, NY 11374-1722
(917) 720-5628
Mailing address
9805 63RD RD APT 11G, REGO PARK, NY 11374-1722
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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