Provider Demographics
NPI:1881915197
Name:WANG, MEI (MD)
Entity type:Individual
Prefix:DR
First Name:MEI
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6747 CLOVERDALE LN
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2759
Mailing Address - Country:US
Mailing Address - Phone:201-779-5092
Mailing Address - Fax:
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:201-779-5092
Practice Address - Fax:201-779-5092
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257377207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology