Individual
STEPHANIE JUNG-YING WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 629, ROCHESTER, NY 14642-8629
(585) 276-5181
(585) 271-8552
Mailing address
601 ELMWOOD AVE, BOX 629, ROCHESTER, NY 14642-8629
(585) 276-5181
(585) 271-8552
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
0101272195
VA
Other
Enumeration date
04/15/2015
Last updated
12/09/2021
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