Organization
ADVANCED AMBULATORY ENDOSCOPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WONG M.D. (SOLE MEMBER)
(917) 535-7908
Entity
Organization
Contact information
Practice address
86 BOWERY, 7TH FLOOR, NEW YORK, NY 10013-4615
(212) 775-8388
Mailing address
86 BOWERY, 7TH FLOOR, NEW YORK, NY 10013-4615
(212) 775-8388
(212) 775-8383
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
09/10/2012
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