Individual
MISS KIMBERLY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31-23 68TH ST, 2 FLOOR, WOODSIDE, NY 11377-1224
(347) 244-6544
Mailing address
31-23 68TH ST, 2 FLOOR, WOODSIDE, NY 11377-1224
(347) 244-6544
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2629415
NY
163WI0500X
Infusion Therapy Registered Nurse
2629415
NY
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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