Individual
ELITA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
223 BEDFORD AVE NO. 888, BROOKLYN, NY 11211-4116
(206) 531-7844
(503) 386-3252
Mailing address
223 BEDFORD AVE NO. 888, BROOKLYN, NY 11211-4116
(206) 531-7844
(503) 386-3252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
674684
NY
163WP0200X
Pediatric Registered Nurse
674684
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402711
NY
Other
Enumeration date
11/29/2018
Last updated
08/11/2021
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