Provider Demographics
NPI:1194906941
Name:WANG, YA-LING
Entity type:Individual
Prefix:MS
First Name:YA-LING
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH, MS
Mailing Address - Street 1:25 RAMSEY RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1611
Mailing Address - Country:US
Mailing Address - Phone:718-321-3978
Mailing Address - Fax:718-321-3976
Practice Address - Street 1:13343 41ST RD FL 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3656
Practice Address - Country:US
Practice Address - Phone:718-913-6687
Practice Address - Fax:718-321-3976
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist