Stephanie Leah Wong OD

NPI 1184926305 - Optometrist - 152W00000X

NPI Details
NPI 1184926305
Gender Female
Enumeration Date 11/19/2010
Last Updated 11/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
10219 ROOSEVELT AVE
CORONA NY, 11368-2331, US
Phone (718) 507-8200
Fax
Business Location
10219 ROOSEVELT AVE
CORONA NY, 11368-2331, US
Phone (718) 507-8200
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number TUV-007579-1
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According to our database, Dr. Stephanie Leah Wong OD NPI is 1184926305, taxonomy code is 152W00000X and license number is TUV-007579-1, license state is located at New York. Stephanie Leah Wong OD physically located at 10219 Roosevelt Ave, Corona NY, 11368-2331. NPI Number Stephanie Leah Wong OD has the Individual type.

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1184926305 NPI number is provided on an as is basis without warranty of any kind. 1184926305 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Leah Wong OD are for informational purposes only.