MEDICARE: MS. YAJIE WANG L.AC.

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
1	171100000X	Acupuncturist	003708	NY

General Provider Information

NPI Number	:	1679884415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YAJIE WANG L.AC.

Provider Business Mailing Address
First Line	:	7002 KENNEDY BLVD E
Second Line	:	#28I
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-4929
Country	:	US
Telephone Number	:	646-922-2223
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 MADISON AVE RM 2305
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5413
Country	:	US
Telephone Number	:	646-409-6543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2010
Last Update Date	:	04/28/2024

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Directions to “ MS. YAJIE WANG L.AC.” Practice Location

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