Individual
DR. PETER J WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 N VILLAGE AVE, STE 402, ROCKVILLE CENTRE, NY 11570-1001
(516) 766-2519
(516) 766-3714
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
(516) 804-5200
(516) 240-6540
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
193409
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
193409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01465232
—
NY
Enumeration date
06/13/2005
Last updated
09/18/2019
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