National Provider Identifier
Todd Wang, D.O.
Todd Wang, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Horseheads, NY and a listed phone number of (607) 739-0352.
Profile Overview
- NPI
- 1104288281
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 28, 2016
- Last Updated
- April 13, 2020
Practice Location
- 100 John Roemmelt Dr Ste 301
- Horseheads, NY 14845-8304
Phone: (607) 739-0352
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1104288281
- Entity Type
- Individual
- Last Name
- Wang
- First Name
- Todd
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 100 John Roemmelt Dr Ste 301
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8304
- Practice Country
- US
- Practice Phone
- (607) 739-0352
- Enumeration Date
- March 28, 2016
- Last Updated
- April 13, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)