Wang, Gordon

Wang, Gordon is an sole proprietor health care provider with primary practice located at 7516 169Th St , Fresh Meadows NY 11366-1338. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Wang, Gordon can be contacted via phone (646) 703-4376.

Contact Information

Primary practice address
7516 169Th St Fresh Meadows NY 11366-1338
Phone: (646) 703-4376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 057309 New York

Profile Details

NPI number 1750624458
LBN Legal business name Wang, Gordon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2013
Last updated Aug 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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