Individual
OI LEE TIFFANY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
428 E 72ND ST OFC 500, NEW YORK, NY 10021-0600
(212) 746-2441
(646) 962-0236
Mailing address
428 E 72ND ST OFC 500, NEW YORK, NY 10021-0600
(212) 746-2441
(646) 962-0236
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F-312189-01
NY
Other
Enumeration date
10/04/2019
Last updated
05/30/2025
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