Organization
RAYMOND F WONG M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND F WONG M.D. (PRESIDENT)
(212) 227-5451
Entity
Organization
Contact information
Practice address
139 CENTRE ST, SUITE PH105, NEW YORK, NY 10013-4552
(212) 227-5451
Mailing address
139 CENTRE ST, SUITE PH105, NEW YORK, NY 10013-4552
(212) 227-5451
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
183388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03291678
—
NY
01
—
58F22
EMPIRE BLUE CROSS SHIELD
NY
Enumeration date
01/12/2007
Last updated
04/17/2013
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