Individual
DR. DAVID D WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 341-7420
(585) 756-2311
Mailing address
PO BOX 278984, ROCHESTER, NY 14627-8984
(585) 341-7420
(585) 756-2311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
126722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD0036
MEDICARE PTAN
NY
Enumeration date
06/19/2006
Last updated
03/01/2012
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