Individual
MR. KEVIN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT,OCS, CAMT
Contact information
Practice address
4128 71ST ST, CA, WOODSIDE, NY 11377-3966
(718) 874-6779
(718) 651-6373
Mailing address
4128 71ST ST, SUITE CA, WOODSIDE, NY 11377-3966
(718) 874-6779
(718) 651-6373
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
019209-1
NY
Other
Enumeration date
08/02/2006
Last updated
03/05/2013
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