Individual
CHUNG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 CROSSING BLVD, CLIFTON PARK, NY 12065-4180
(518) 371-8364
(518) 371-8364
Mailing address
26 CROSSING BLVD, CLIFTON PARK, NY 12065-4180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054898
NY
Other
Enumeration date
07/29/2010
Last updated
12/02/2010
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