Individual
MR. ANSON WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3 BOYNTON ST, STATEN ISLAND, NY 10309-2919
(347) 675-3789
Mailing address
3 BOYNTON ST, STATEN ISLAND, NY 10309-2919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT022760
PA
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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