Individual
ANDY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14048 34TH AVE, FLUSHING, NY 11354-3042
(917) 599-2719
Mailing address
14048 34TH AVE, FLUSHING, NY 11354-3042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
08/02/2023
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