Doctor Name: | SHUANGSHUANG WENG |
NPI Number: | 1568831998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F339834 |
Business Practice Address: | 2035 120th St 2fl College Point, NY - 113562105 |
Business Phone Number: | 9175180018 |
Business Fax Number: | |
Mailing Address: | 2035 120th St, 2fl COLLEGE POINT |
State: | NY |
Postal Code: | 113562105 |
Phone Number: | 9175180018 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F339834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |