Individual
DR. CARSON KATSUN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
44 SYLVAN AVE, SUITE 1B, ENGLEWOOD CLIFFS, NJ 07632-2417
(201) 592-1982
Mailing address
44 SYLVAN AVE, SUITE 1B, ENGLEWOOD CLIFFS, NJ 07632-2417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007444-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314081
—
NJ
05
—
03160372
—
NY
Enumeration date
07/09/2009
Last updated
01/03/2013
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