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General NPI Number Information
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NPI Number | 1003710856
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Entity Type | Organization
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Legal Business Name | WANG PSYCHIATRY PLLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 11020 71ST RD STE 102
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City | FOREST HILLS
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State | NY
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Zip | 11375-4905
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Country | US
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Telephone | 646-580-0686
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Fax | 917-475-2562
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Provider Business Mailing Address
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Address Line | 11020 71ST RD STE 102
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City | FOREST HILLS
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State | NY
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Zip | 11375-4905
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Country | US
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Telephone | 646-580-0686
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Fax | 917-475-2562
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRIS WANG
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Credential | MD
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Telephone | 646-580-0686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State | NULL
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