Individual
NELSON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 DUNNING RD, MIDDLETOWN, NY 10940
(845) 344-4477
(845) 344-6072
Mailing address
60 DUNNING RD, MIDDLETOWN, NY 10940
(845) 344-4477
(845) 344-6072
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
217598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02088562
—
NY
Enumeration date
02/17/2006
Last updated
11/03/2011
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