Provider Demographics
NPI:1922400241
Name:WANG, MEI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:MEI
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7083 PARK DR E
Mailing Address - Street 2:A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1951
Mailing Address - Country:US
Mailing Address - Phone:917-497-8094
Mailing Address - Fax:
Practice Address - Street 1:7083 PARK DR E
Practice Address - Street 2:A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1951
Practice Address - Country:US
Practice Address - Phone:917-497-8094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005426390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program