Individual
BETTY CHRISTINA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6502 18TH AVE, BROOKLYN, NY 11204-3702
(718) 331-4580
Mailing address
6502 18TH AVE, BROOKLYN, NY 11204-3702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059563
NY
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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