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Organization
410 MEDICAL, P.C
Active
Organization
410 MEDICAL, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WONG M.D (OWNER)
(212) 470-0360
Entity
Organization
Contact information
Practice address
9050 PARSONS BLVD STE 410, JAMAICA, NY 11432-6052
(212) 470-0360
Mailing address
9050 PARSONS BLVD STE 410, JAMAICA, NY 11432-6052
(212) 470-0360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A188292-1
NY
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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