Individual
DR. CRYSTAL WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8514 QUEENS BLVD, ELMHURST, NY 11373-4249
(718) 803-8393
Mailing address
8514 QUEENS BLVD, ELMHURST, NY 11373-4249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052735
NY
Other
Enumeration date
08/11/2011
Last updated
06/07/2013
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