Individual
ALAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
902 BROADWAY STE 1601, NEW YORK, NY 10010-6028
(646) 654-1835
Mailing address
902 BROADWAY STE 1601, NEW YORK, NY 10010-6028
(646) 654-1835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044693
NY
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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