Organization
87 MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN WONG MD (OWNER)
(516) 385-1525
Entity
Organization
Contact information
Practice address
8717 21ST AVE, BROOKLYN, NY 11214-4951
(718) 372-3150
(718) 372-3150
Mailing address
8717 21ST AVE, BROOKLYN, NY 11214-4951
(718) 372-3150
(718) 372-3150
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A188292
NY
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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