Individual
AMY R WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 SALT SPRINGS RD DEPT OF, SYRACUSE, NY 13214-1301
(315) 445-4100
Mailing address
1419 SALT SPRINGS RD DEPT OF, SYRACUSE, NY 13214-1301
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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