Provider Demographics
NPI:1043455918
Name:WANG, WILLIAM CALEB (MS, PT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CALEB
Last Name:WANG
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Gender:M
Credentials:MS, PT
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Mailing Address - Street 1:149-07 SANFORD AVE.
Mailing Address - Street 2:APT. 1B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-886-2284
Mailing Address - Fax:718-886-2284
Practice Address - Street 1:14907 SANFORD AVE
Practice Address - Street 2:APT. 1B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1050
Practice Address - Country:US
Practice Address - Phone:718-886-2284
Practice Address - Fax:718-886-2284
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics