Provider Demographics
NPI:1114100153
Name:WANG, QING MEI (MD, PHD)
Entity Type:Individual
Prefix:
First Name:QING
Middle Name:MEI
Last Name:WANG
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:QINGMEI
Other - Middle Name:
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:9712 METROPOLITAN AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6626
Mailing Address - Country:US
Mailing Address - Phone:646-321-0378
Mailing Address - Fax:212-348-5901
Practice Address - Street 1:ONE GUSTAVE LEVY PLACE
Practice Address - Street 2:DEPARTMENT OF REHABILITATION MEDICINE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-659-9351
Practice Address - Fax:212-348-5901
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60-243399208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation