Provider Demographics
NPI:1194543637
Name:WANG, YUCHEN
Entity type:Individual
Prefix:
First Name:YUCHEN
Middle Name:
Last Name:WANG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3002 39TH AVE APT A618
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2775
Mailing Address - Country:US
Mailing Address - Phone:646-684-0567
Mailing Address - Fax:
Practice Address - Street 1:2302 AVENUE U UNIT 290147
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-7504
Practice Address - Country:US
Practice Address - Phone:347-708-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health