Individual
ALICE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 DAVIS AVE, POUGHKEEPSIE, NY 12603-2416
(845) 454-1025
(845) 454-5881
Mailing address
27 DAVIS AVE, POUGHKEEPSIE, NY 12603-2416
(845) 454-1025
(845) 454-5881
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
20A18437
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
312256
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2016
Last updated
01/31/2024
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