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Individual

AMANDA M WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
281 1ST AVE, NEW YORK, NY 10003-2925
(212) 420-2000
Mailing address
310 E 14TH ST, NEW YORK, NY 10003-4284
(212) 979-4000

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/21/2022
Last updated
03/21/2022
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