Individual
MARILYN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
52 MAIN STREET, BEDFORD HILLS, NY 10507
(914) 666-2220
(914) 666-2987
Mailing address
52 MAIN STREET, BEDFORD HILLS, NY 10507
(914) 666-2220
(914) 666-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
213431
NY
2085R0202X
Diagnostic Radiology Physician
Primary
2134311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02105411
—
NY
05
—
2105411
—
NY
Enumeration date
07/13/2006
Last updated
02/15/2008
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