Individual
BENJAMIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7815 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372-1221
(718) 429-2042
Mailing address
3266 47TH ST, ASTORIA, NY 11103-1731
(646) 340-6843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066013
NY
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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