Provider Demographics
NPI:1922683150
Name:WANG, MEI NGA (NP)
Entity Type:Individual
Prefix:
First Name:MEI NGA
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13777 45TH AVE APT 5F
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4084
Mailing Address - Country:US
Mailing Address - Phone:917-861-1996
Mailing Address - Fax:
Practice Address - Street 1:6655 FRESH POND RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-3261
Practice Address - Country:US
Practice Address - Phone:718-497-1919
Practice Address - Fax:718-366-4502
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY346987363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily