Individual
PAULA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
525 E 68TH ST STE 404, NEW YORK, NY 10065-4870
(212) 746-5172
Mailing address
525 E 68TH ST STE 404, NEW YORK, NY 10065-4870
(212) 746-5172
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309841-01
NY
Other
Enumeration date
01/06/2021
Last updated
01/26/2022
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