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General NPI Number Information
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NPI Number | 1619288065
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Entity Type | Individual
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Provider Name | ELLEN YEE WANG D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 132 BOWERY 1ST FL.
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City | NEW YORK
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State | NY
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Zip | 10013-4297
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Country | US
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Telephone | 212-335-0328
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Fax |
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Provider Business Mailing Address
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Address Line | 132 BOWERY 1ST FL
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City | NEW YORK
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State | NY
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Zip | 10013-4297
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MB09209200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 282507
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License Number State | NY
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