Individual
DR. ALEXANDRIA VENUS WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
121 COURT ST, BROOKLYN, NY 11201-5608
(718) 858-7036
Mailing address
468 FRANKLIN AVE APT 3, BROOKLYN, NY 11238-2603
(929) 270-2796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008699
NY
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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