Individual
ANDREW WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7163
Mailing address
28 CHESHIRE AVE, SYOSSET, NY 11791-5009
(516) 301-0745
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
16157
NY
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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