Le-ben Wan


Address: 4402 23rd St, Suite 504, Long Island City, NY 11101-5072

Le-ben Wan (NPI# 1356665954, PAC ID# 2567790645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1356665954
PAC ID by PECOS 2567790645
Professional Enrollment ID I20190828000158
Full Name Le-ben Wan
Address 4402 23rd St
Suite 504
Long Island City
NY 11101-5072
Gender M
Medical School UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
4402 23rd St, Suite 504, Long Island City, NY 11101-5072

Organization Information

Office Location

Street Address 4402 23RD ST
SUITE 504
City LONG ISLAND CITY
State NY
Zip 11101-5072

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Competitor

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City LONG ISLAND CITY
Zip Code 11101
Specialty PSYCHIATRY
City + Specialty LONG ISLAND CITY + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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