Organization
CARSON K. WONG, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARSON K WONG (FOUNDER)
(646) 355-8393
Entity
Organization
Contact information
Practice address
13620 38TH AVE STE 5B, FLUSHING, NY 11354-4264
(646) 355-8393
Mailing address
13620 38TH AVE STE 5B, FLUSHING, NY 11354-4264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007444
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03170569
—
NY
Enumeration date
11/12/2009
Last updated
01/16/2010
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