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

Xiaodong Wang Sr.

Individual provider Massage Therapist · NPI 1699317883

Xiaodong Wang Sr. is a Massage Therapist in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4844 186th St
Fresh Meadows, NY 11365-1109
Phone: (718) 869-3607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 007337 (NY)
Massage Therapist Taxonomy 225700000X · Licence 031856 (NY)

Record details

NPI number1699317883
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 9, 2019
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 1, 2023
Mailing address4844 186th St, Fresh Meadows, NY 11365-1923

Other providers in Fresh Meadows