Provider Demographics
NPI:1568544237
Name:WANG, QIMING (ACUPUNCTURIST)
Entity Type:Individual
Prefix:DR
First Name:QIMING
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 FRANKLIN AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2165
Mailing Address - Country:US
Mailing Address - Phone:516-872-0680
Mailing Address - Fax:516-872-1091
Practice Address - Street 1:125 FRANKLIN AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2165
Practice Address - Country:US
Practice Address - Phone:516-872-0680
Practice Address - Fax:516-872-1091
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000888171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist