Individual
DR. BONNIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
451 CLARKSON AVE RM B5110, BROOKLYN, NY 11203-2097
(718) 245-5403
Mailing address
451 CLARKSON AVE RM B5110, BROOKLYN, NY 11203-2097
(718) 245-5403
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
289253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033523717
NPI
—
Enumeration date
06/20/2014
Last updated
05/23/2020
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