Individual
JESSICA LI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E BETHPAGE RD, PLAINVIEW, NY 11803-4228
(516) 731-5588
Mailing address
125 E BETHPAGE RD, PLAINVIEW, NY 11803-4228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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