Individual
SIMONE M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
596 ARGYLE RD APT 5, BROOKLYN, NY 11230-1647
(917) 753-5041
Mailing address
596 ARGYLE RD APT 5, BROOKLYN, NY 11230-1647
(917) 753-5041
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
28WO1388608
NY
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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