Individual
BENNY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6013 7TH AVE, BROOKLYN, NY 11220-4104
(718) 439-0502
Mailing address
5805 7TH AVE, 6C, BROOKLYN, NY 11220-3964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0626271
NY
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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