| Dr. Da Wang Psychiatric Consultation, P.c. | |
|
13336 41st Rd Ste 1b Flushing NY 11355-3661 | |
| (516) 581-9835 | |
| Not Available |
| Full Name | Dr. Da Wang Psychiatric Consultation, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13336 41st Rd Ste 1b, Flushing, New York |
| Authorized Official Name and Position | Da Wang (PRESIDENT) |
| Authorized Official Contact | 5165819835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Da Wang Psychiatric Consultation, P.c. 11 Willets Dr Syosset NY 11791-3913 Ph: (516) 581-9835 | Dr. Da Wang Psychiatric Consultation, P.c. 13336 41st Rd Ste 1b Flushing NY 11355-3661 Ph: (516) 581-9835 |
| NPI Number | 1770886921 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 02/04/2011 |
| Medicare PECOS PAC ID | 8123204377 |
|---|---|
| Medicare Enrollment ID | O20110524000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770886921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 256826 (New York) | Primary |
| Provider Name | Da Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023335882 PECOS PAC ID: 0244416360 Enrollment ID: I20110525000228 |
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