Individual
MS. ANITA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, CNSC, CDN
Contact information
Practice address
6519 BORDEN AVE, MASPETH, NY 11378-1630
(718) 899-0060
(718) 899-0175
Mailing address
5645 MAIN ST, DEPARTMENT OF FOOD AND NUTRITION, FLUSHING, NY 11355-5045
(917) 861-4484
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Enumeration date
01/16/2008
Last updated
08/08/2011
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