Individual
TIFFANY K WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E 38TH ST FL 15, NEW YORK, NY 10016-2708
(212) 263-6037
(646) 501-7775
Mailing address
240 E 38TH ST FL 15, NEW YORK, NY 10016-2708
(212) 263-6037
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
296321-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
09/27/2022
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