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NPI Code Detail

MEDICARE: YA-LIN WANG PT

MEDICARE: YA-LIN WANG PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist032988NY

General Provider Information

NPI Number : 1356643688
Entity Type Code : Individual
Provider Name (Legal Business Name) : YA-LIN WANG PT
Provider Business Mailing Address
First Line : 61 BROADWAY
Second Line : SUITE2826
City : NEW YORK
State : NY
Zip : 10006-2701
Country : US
Telephone Number : 212-981-1977
Fax Number :
Provider Business Practice Location Address
First Line : 61 BROADWAY
Second Line : SUITE2826
City : NEW YORK
State : NY
Zip : 10006-2701
Country : US
Telephone Number : 212-981-1977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2010
Last Update Date : 11/18/2010

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