Individual
CONNIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026426
NY
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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