Individual
DR. EUGENE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
Mailing address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
259742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04993720
—
NY
Enumeration date
04/13/2010
Last updated
03/15/2024
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