Individual
CYNTHIA S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 PROSPECT AVE, INFECTIOUS DISEASE CONSULTANTS, SYRACUSE, NY 13203
(315) 448-6253
(315) 448-6264
Mailing address
301 PROSPECT AVE, INFECTIOUS DISEASE CONSULTANTS, SYRACUSE, NY 13203
(315) 448-6253
(315) 448-6264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1655241
NY
207RI0200X
Infectious Disease Physician
Primary
1655241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01097236
—
NY
Enumeration date
04/22/2006
Last updated
01/22/2008
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