Individual
ANNA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 ESSEX ST APT 8, NEW YORK, NY 10002-4635
(646) 427-1998
Mailing address
43 ESSEX ST APT 8, NEW YORK, NY 10002-4635
(646) 427-1998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008302
NY
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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