Provider Demographics
NPI:1831465558
Name:WANG, HONGYIN (MD)
Entity Type:Individual
Prefix:
First Name:HONGYIN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 HILLSIDE AVE STE I
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2352
Mailing Address - Country:US
Mailing Address - Phone:516-385-8287
Mailing Address - Fax:516-875-7436
Practice Address - Street 1:99 HILLSIDE AVE STE I
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2352
Practice Address - Country:US
Practice Address - Phone:516-385-8287
Practice Address - Fax:516-875-7346
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280514207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty