Individual
JESSICA DANIELLE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
311 W 35TH ST, NEW YORK, NY 10001-1701
(212) 736-5900
(212) 290-2724
Mailing address
311 W 35TH STREET, NEW YORK, NY 10001
(212) 736-5900
(212) 290-2724
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019153
NY
Other
Enumeration date
10/07/2015
Last updated
08/15/2017
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