Individual
MS. AGNES WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
139 CENTRE ST, NEW YORK, NY 10013-4552
(914) 418-4654
Mailing address
139 CENTRE ST, NEW YORK, NY 10013-4552
(914) 418-4654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348585
NY
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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