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Individual

NELSON WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
217 E 96TH ST APT 24M, NEW YORK, NY 10128-4121
(917) 679-2546
Mailing address
217 E 96TH ST APT 24M, NEW YORK, NY 10128-4121

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
254070
MA
207P00000X
Emergency Medicine Physician
Primary
262380
NY

Other

Enumeration date
07/10/2009
Last updated
02/14/2013
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