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1184020315
WAI LOON BONG
FLUSHING, NY
NPI
1184020315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 018246)
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
WAI LOON BONG P.A
13811 63RD AVE
FLUSHING, NY 11367-1105
Phone number: 646-982-7889
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Mailing Address
WAI LOON BONG P.A
13811 63RD AVE
FLUSHING, NY 11367-1105
Phone number: 646-982-7889
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