WAI LOON BONG

FLUSHING, NY
NPI1184020315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  018246)
Enumeration Date2014-11-17
Last Update Date2014-11-17
Business Address
-- WAI LOON BONG P.A
13811 63RD AVE
FLUSHING, NY 11367-1105
Phone number: 646-982-7889
Mailing Address
-- WAI LOON BONG P.A
13811 63RD AVE
FLUSHING, NY 11367-1105
Phone number: 646-982-7889