Individual
DR. BRIAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH, PHARM.D.
Contact information
Practice address
18 E 183RD ST, BRONX, NY 10453-1241
(718) 841-9969
(718) 450-8457
Mailing address
18 EAST 183RD ST, BRONX, NY 10453
(718) 841-9969
(718) 450-8457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057259
REGISTERED PHARMACIST
NY
Enumeration date
02/21/2013
Last updated
02/21/2013
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