Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Wang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619523537

Jacob Wang is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-2909
Phone: (631) 689-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619523537
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESDecember 15, 2024
Certification dateDecember 15, 2024
Mailing address101 Nicolls Rd, Stony Brook, NY 11794-0001

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