Individual
DR. NATHAN COLIN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE STE 1900S, HAWTHORNE, NY 10532-2140
(914) 347-1900
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
293369
NY
Other
Enumeration date
07/25/2018
Last updated
11/11/2021
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