| Yuancong Wang Do Pllc | |
|
4373 Union St Suite C-b Flushing NY 11355-3045 | |
| (718) 886-3877 | |
| (718) 886-3995 |
| Full Name | Yuancong Wang Do Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4373 Union St, Flushing, New York |
| Authorized Official Name and Position | Yuancong Wang (PROPRIETOR) |
| Authorized Official Contact | 7188863877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yuancong Wang Do Pllc 4373 Union St Suite C-b Flushing NY 11355-3045 Ph: (718) 886-3877 | Yuancong Wang Do Pllc 4373 Union St Suite C-b Flushing NY 11355-3045 Ph: (718) 886-3877 |
| NPI Number | 1447542600 |
|---|---|
| Provider Enumeration Date | 05/06/2011 |
| Last Update Date | 05/06/2011 |
| Medicare PECOS PAC ID | 5890936132 |
|---|---|
| Medicare Enrollment ID | O20130729000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447542600 | NPI | - | NPPES |
| 02641041 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 229200 (New York) | Primary |
| Provider Name | Vincent Y Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194737486 PECOS PAC ID: 4789631748 Enrollment ID: I20050401000788 |
| Provider Name | Agmar Kaiyrgazy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104562727 PECOS PAC ID: 8628458791 Enrollment ID: I20220707000245 |
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