NPI 1013388909

Jennifer Wang

Practitioner Physician Assistant Astoria, NY

Practice location

Address: 2510 30th Ave, Astoria, NY 11102-2448
Phone: (718) 267-4262
Mailing address: 3753 78th St, Jackson Heights, NY 11372-6631

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 019287 (NY)

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Registry record

NPI: 1013388909
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2015
Record last updated: 12 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.