Individual
MR. TONY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
184 ELDRIDGE ST, NEW YORK, NY 10002-2924
(917) 535-5706
Mailing address
82 RUTGERS SLIP 20B, NEW YORK, NY 10002
(917) 535-5706
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
062248-1
NY
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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