Individual
KATHY KWOK FUN MAN-WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
757 55TH STREET, BROOKLYN, NY 11220
(718) 437-9282
(718) 437-9282
Mailing address
757 55TH STREET, BROOKLYN, NY 11220
(718) 437-9282
(718) 437-9284
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
204163
NY
207W00000X
Ophthalmology Physician
Primary
204163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01934156
—
NY
01
—
03463A
GHI MEDICARE
NY
01
—
1000028656
AFFINITY
NY
01
—
204163
HEALTH FIRST
NY
01
—
239415
WELLCARE
NY
01
—
319310201
HEALTH PLUS
NY
01
—
33120P
HIP
NY
01
—
P2179335
OXFORD HEALTH PLAN
NY
Enumeration date
10/31/2006
Last updated
07/03/2018
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