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1417468299
LORETTA WONG
BAY SHORE, NY
NPI
1417468299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 340267)
Enumeration Date
2017-10-19
Last Update Date
2020-01-06
Business Address
LORETTA WONG NP
301 E MAIN ST
BAY SHORE, NY 11706
Phone number: 917-609-7898
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Mailing Address
LORETTA WONG NP
301 E MAIN ST BLDG 211
BAY SHORE, NY 11706-8408
Phone number: 631-675-4550
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