Individual
DR. CHRISTINE N WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
110 E 40TH ST RM 104, NEW YORK, NY 10016
(212) 682-2965
Mailing address
1563 PARKER AVE, FORT LEE, NJ 07024-7002
(201) 461-4133
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
056838-1
NY
1223P0300X
Periodontics
22DI02671600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03709102
—
NY
Enumeration date
05/02/2012
Last updated
03/09/2026
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