Individual
MISS PUIYAN MAY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
1093 ROSSVILLE AVE, STATEN ISLAND, NY 10309-1719
(917) 292-0552
Mailing address
1093 ROSSVILLE AVE, STATEN ISLAND, NY 10309-1719
(917) 292-0552
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F30994501
NY
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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