Organization
1 MILLER MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WONG DO (PRESIDENT)
(516) 755-5855
Entity
Organization
Contact information
Practice address
1 MILLER RD, FARMINGDALE, NY 11735-2015
(516) 755-5855
(516) 755-0330
Mailing address
1 MILLER RD, FARMINGDALE, NY 11735-2015
(516) 755-5855
(516) 755-0330
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
188292
NY
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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