Individual
DR. ANTHONY LEI-ON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
994 W JERICHO TPKE, SUITE 103, SMITHTOWN, NY 11787-3235
(631) 864-6647
(631) 864-6001
Mailing address
994 W JERICHO TPKE, SUITE 103, SMITHTOWN, NY 11787-3235
(631) 864-6647
(631) 864-6001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
226570
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
226570
NY
207NP0225X
Pediatric Dermatology Physician
226570
NY
207NS0135X
Procedural Dermatology Physician
226570
NY
Other
Enumeration date
03/18/2006
Last updated
10/02/2007
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