Provider Demographics
NPI:1225462021
Name:WANG MEI OBSTETRICS GYNECOLOGY P.C.
Entity Type:Organization
Organization Name:WANG MEI OBSTETRICS GYNECOLOGY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEI
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-779-5092
Mailing Address - Street 1:13630 MAPLE AVE STE 2K
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3868
Mailing Address - Country:US
Mailing Address - Phone:718-321-8560
Mailing Address - Fax:718-321-7108
Practice Address - Street 1:13630 MAPLE AVE STE 2K
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3868
Practice Address - Country:US
Practice Address - Phone:718-321-8560
Practice Address - Fax:718-321-7108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257377261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care