Individual
MS. AMELIA JAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
227 MADISON ST, GOUVERNEUR HEALTHCARE SERVICES PEDIATRICS, NEW YORK, NY 10002-7537
(212) 238-7212
(212) 238-7799
Mailing address
30 W 60TH ST, APT. 11F, NEW YORK, NY 10023-7902
(212) 489-6801
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380429-1
NY
Other
Enumeration date
05/15/2006
Last updated
03/15/2017
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