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General NPI Number Information
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NPI Number | 1477891901
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Entity Type | Organization
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Legal Business Name | DR WW DERMATOLOGY PLLC
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 8516 QUEENS BLVD FL 1
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City | ELMHURST
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State | NY
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Zip | 11373-4249
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Country | US
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Telephone | 718-457-0002
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Fax | 718-457-0700
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Provider Business Mailing Address
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Address Line | 8516 QUEENS BLVD FL 1
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City | ELMHURST
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State | NY
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Zip | 11373-4249
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Country | US
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Telephone | 718-457-0002
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Fax | 718-457-0700
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUACHEN WEI
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Credential | M.D.
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Telephone | 718-457-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 218668
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 014078
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 014997
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 215477
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License Number State | NY
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