Individual
RAYMOND F WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
139 CENTRE ST, SUITE PH105, NEW YORK, NY 10013-4552
(212) 227-5451
Mailing address
139 CENTRE ST, SUITE PH105, NEW YORK, NY 10013-4552
(212) 227-5451
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
183388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619083425
—
NY
Enumeration date
08/22/2006
Last updated
01/06/2013
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