| Jennifer Wang, | |
|
2510 30th Ave, Astoria, NY 11102-2448 | |
| (718) 267-4262 | |
| Not Available |
| Full Name | Jennifer Wang |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2510 30th Ave, Astoria, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013388909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 019287 (New York) | Primary |
| Entity Name | Mount Sinai Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013948595 PECOS PAC ID: 1153219431 Enrollment ID: O20040421000437 |
| Entity Name | Icahn School of Medicine at Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477932275 PECOS PAC ID: 2264691070 Enrollment ID: O20150811003333 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Wang, 3753 78th St, Jackson Heights, NY 11372-6631 Ph: (917) 216-9210 | Jennifer Wang, 2510 30th Ave, Astoria, NY 11102-2448 Ph: (718) 267-4262 |
Jean Luc Bernard, RPA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4904 19th Ave, Astoria, NY 11105 Phone: 718-777-3494 |
Kamilia Ait Belkacem, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 347-862-8380 |
Jeri Latrice Crenshaw, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3244 31st St, Astoria, NY 11106 Phone: 718-956-6565 Fax: 718-956-7463 |
Elizabeth Tova Oliver, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3141 45th St, Astoria, NY 11103 Phone: 718-274-2600 Fax: 718-274-1772 |
Maria Kurth, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3007 36th Ave, Astoria, NY 11106 Phone: 917-310-3371 Fax: 516-938-1554 |
Augustine Gnalian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-932-1000 |
Gabriella Marisa Dutsar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3825 Astoria Blvd, Astoria, NY 11103 Phone: 718-274-7300 |