Wang, Shan

Wang, Shan is an individual health care provider with primary practice located at 8808 55Th Ave , Elmhurst NY 11373-4437. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wang, Shan can be contacted via phone (718) 803-3005.

Contact Information

Primary practice address
8808 55Th Ave Elmhurst NY 11373-4437
Phone: (718) 803-3005
Fax: (718) 803-3346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 048389 New York

Profile Details

NPI number 1194907220
LBN Legal business name Wang, Shan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 30th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194907220 NPPES
New York Other 048389 BOARD OF PHARMACY

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