Individual
ANITA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 CENTRE ST, SUITE #203, NEW YORK, NY 10013-4552
(212) 227-2943
(212) 227-2947
Mailing address
139 CENTRE ST, SUITE #203, NEW YORK, NY 10013-4552
(212) 227-2943
(212) 227-2947
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307030
NY
Other
Enumeration date
08/02/2014
Last updated
10/12/2016
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