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Individual

DR. KEN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10201 66TH RD, DEPARTMENT OF EMERGENCY MEDICINE, FOREST HILLS, NY 11375-2029
(718) 830-4204
Mailing address
102-01 66TH RD, DEPARTMENT OF EMERGENCY MEDICINE, FOREST HILLS, NY 11375
(718) 830-4204

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
244137
NY

Other

Enumeration date
03/05/2008
Last updated
03/05/2008
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