Individual
DR. KENNETH RICHARD WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 EAST 68TH STREET, MAILBOX 301, NY PRESBYTERIAN CORNELL- EMERGENCY MEDICINE RESIDENCY, NEW YORK CITY, NY 10021
(949) 903-0215
Mailing address
525 EAST 68TH STREET, MAILBOX 301, NY PRESBYTERIAN CORNELL- EMERGENCY MEDICINE RESIDENCY, NEW YORK CITY, NY 10021
(949) 903-0215
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01084070A
IN
207P00000X
Emergency Medicine Physician
Primary
04-45699
KS
390200000X
Student in an Organized Health Care Education/Training Program
910442318
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7686569
CALIFORNIA DRIVER'S LICENSE
CA
Enumeration date
04/20/2016
Last updated
02/23/2022
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