Individual
DR. MARTHA SHIH WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
860 GRAND CONCOURSE, SUITE 1C, BRONX, NY 10451-2814
(718) 665-7384
(718) 665-5335
Mailing address
127 BREWSTER RD, SCARSDALE, NY 10583-2003
(718) 665-7384
(718) 665-5335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113881
NY
2080P0207X
Pediatric Hematology & Oncology Physician
113881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00208131
—
NY
Enumeration date
10/31/2006
Last updated
12/23/2013
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