Provider Demographics
NPI:1215245261
Name:LING, WEN
Entity type:Individual
Prefix:DR
First Name:WEN
Middle Name:
Last Name:LING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77-14, 113TH STREET
Mailing Address - Street 2:APT.1C
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7117
Mailing Address - Country:US
Mailing Address - Phone:212-982-4242
Mailing Address - Fax:
Practice Address - Street 1:77-14, 113TH STREET
Practice Address - Street 2:APT.1C
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7117
Practice Address - Country:US
Practice Address - Phone:212-982-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6181225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist