Most Relevant Information
Provider Data
| NPI Number: | 1003334806 |
| Provider Name: | YARU WANG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/01/2017 |
| Last Updated: | 09/01/2017 |
Provider Practice Location
14015B SANFORD AVE FL 2
FLUSHING
NY
113552557
Practice Location Phone/Fax
| Phone: | 7183588288 |
| Fax: |
Provider Mailing Location
14015B SANFORD AVE # 2FL
FLUSHING
NY
113552557
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |