Individual
DANIEL G WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3340 BAINBRIDGE AVE, BRONX, NY 10467-2802
(914) 594-6424
(914) 594-6185
Mailing address
119 MOUNT VERNON AVE UNIT 2047, MOUNT VERNON, NY 10550-2459
(914) 594-6424
(914) 594-6185
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
305312
NY
2084P0800X
Psychiatry Physician
61972
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2016
Last updated
02/01/2022
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