Individual
LILLIAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
152 E 35TH ST APT 2B, NEW YORK, NY 10016-4116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
264390-1
NY
Other
Enumeration date
04/29/2010
Last updated
04/24/2014
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