MEDICARE: MING WANG

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	174400000X	Specialist		NY

General Provider Information

NPI Number	:	1881543767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MING WANG

Provider Business Mailing Address
First Line	:	141 PIERPONT PL
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-7836
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 PIERPONT PL
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-7836
Country	:	US
Telephone Number	:	843-302-6998
Fax Number	:

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

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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Directions to “ MING WANG ” Practice Location

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