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Organization

CYNTHIA WONG, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CYNTHIA WONG (EXCECUTIVE)
(718) 227-3233
Entity
Organization

Contact information

Practice address
1102 VICTORY BLVD, STATEN ISLAND, NY 10301-3622
(718) 227-3233
Mailing address
45 POMPEY AVE, STATEN ISLAND, NY 10312-2050
(718) 227-3233

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
183920
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1599288
NY
Enumeration date
11/07/2011
Last updated
11/07/2011
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