Provider Demographics
NPI:1982781100
Name:WANG, SHIOW-CHING (MD)
Entity Type:Individual
Prefix:
First Name:SHIOW-CHING
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 1:3625 UNION ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4166
Mailing Address - Country:US
Mailing Address - Phone:718-358-5100
Mailing Address - Fax:718-939-2147
Practice Address - Street 1:3625 UNION ST
Practice Address - Street 2:SUITE E
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4166
Practice Address - Country:US
Practice Address - Phone:718-358-5100
Practice Address - Fax:718-939-2147
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185759207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01430322Medicaid
NY01085AMedicare ID - Type Unspecified
NYF55815Medicare UPIN