SU-LAN WONG

NORTHPORT, NY
NPI1104882901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F301017-1)
Enumeration Date2006-04-21
Last Update Date2007-07-08
Business Address
-- SU-LAN WONG NP
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
Mailing Address
-- SU-LAN WONG NP
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
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