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General NPI Number Information
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NPI Number | 1649942988
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Entity Type | Organization
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Legal Business Name | YAN WANG FAMILY HEALTH NP PLLC
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 13259 41ST RD STE CB
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City | FLUSHING
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State | NY
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Zip | 11355-4256
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Country | US
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Telephone | 917-962-7920
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Fax |
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Provider Business Mailing Address
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Address Line | 289 KILBURN RD S
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City | GARDEN CITY
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State | NY
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Zip | 11530-5326
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Country | US
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Telephone | 516-790-2722
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YAN WANG
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Credential |
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Telephone | 516-790-2722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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