Individual
GLORIA Y WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1275 YORK AVE, 15TH FLOOR, NEW YORK, NY 10065-6007
(212) 639-6950
Mailing address
536 E 79TH ST, APT 1O, NEW YORK, NY 10075-1503
(212) 585-2164
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430469
NY
Other
Enumeration date
07/13/2009
Last updated
07/14/2009
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