Individual
AMY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
25 BOWERY, NEW YORK, NY 10002-7576
(212) 966-4420
Mailing address
25 BOWERY, NEW YORK, NY 10002-6702
(212) 966-4420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047771-1
NY
183500000X
Pharmacist
RI02919800
NJ
Other
Enumeration date
01/02/2007
Last updated
01/30/2012
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