Individual
CAROLINE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW ROAD, SUITE 202, MELVILLE, NY 11747
(631) 385-7780
Mailing address
102-35 64TH ROAD, APT 6D, FOREST HILLS, NY 11375
(718) 877-5777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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