MEDICARE: YING 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	183500000X	Pharmacist	060960	NY

General Provider Information

NPI Number	:	1568832194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YING WANG

Provider Business Mailing Address
First Line	:	3404 UNION ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-3053
Country	:	US
Telephone Number	:	718-886-2227
Fax Number	:

Provider Business Practice Location Address
First Line	:	3404 UNION ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-3053
Country	:	US
Telephone Number	:	718-886-2227
Fax Number	:

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

Provider Enumeration Date	:	09/24/2015
Last Update Date	:	09/24/2015

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Directions to “ YING WANG ” Practice Location

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