Individual
JEAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 308-7386
Mailing address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 308-7386
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
07/31/2025
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