Individual
DR. ANDREA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 PARK CLUB LN STE 250, WILLIAMSVILLE, NY 14221-5259
(716) 218-1000
(716) 580-7677
Mailing address
180 PARK CLUB LN STE 250, WILLIAMSVILLE, NY 14221-5259
(716) 218-1000
(716) 580-7677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
288129
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
288129
NY
Other
Enumeration date
05/26/2011
Last updated
03/14/2018
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