Individual
KELLY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 WESTCHESTER AVE, WHITE PLAINS, NY 10604-3516
(917) 966-0966
Mailing address
1133 WESTCHESTER AVE, WHITE PLAINS, NY 10604-3516
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
829431-01
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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