Individual
MR. PAUL S WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
70-31A 108TH STREET, SUITE 3, FOREST HILLS, NY 11375
(718) 300-8888
(516) 248-1908
Mailing address
94 SKELLY PL, MINEOLA, NY 11501-3730
(516) 263-8190
(516) 248-1908
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003113
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003113
ACUPUNCTURIST
NY
Enumeration date
08/08/2008
Last updated
08/08/2008
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