Individual
ALFREDO WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15211 89TH AVE, RM.#5100, JAMAICA, NY 11432-3730
(212) 533-1701
Mailing address
9 STUYVESANT OVAL, # 9G, NEW YORK, NY 10009-1911
(212) 533-1701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
176650-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02194067
—
NY
01
—
176650
HEALTHFIRST
NY
Enumeration date
07/25/2006
Last updated
07/08/2007
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