Provider Demographics
NPI:1598806317
Name:SHEN, WEN TSONG (MD)
Entity type:Individual
Prefix:DR
First Name:WEN
Middle Name:TSONG
Last Name:SHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:530 1ST AVE # HCC6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-7710
Mailing Address - Fax:212-263-2828
Practice Address - Street 1:530 1ST AVE # HCC6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-7710
Practice Address - Fax:212-263-2828
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74935208600000X
NY336012208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery