Individual
ALVIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-4289
(631) 444-2034
Mailing address
101 NICOLLS ROAD, T-19 ROOM 085, STONY BROOK, NY 11794-8191
(631) 444-2034
(631) 444-6178
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A127866
CA
Other
Enumeration date
03/20/2012
Last updated
06/28/2024
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