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1992229223
FREDRICK VA WONG
FLUSHING, NY
NPI
1992229223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 021066)
Enumeration Date
2017-07-28
Last Update Date
2019-03-04
Business Address
MR. FREDRICK VA WONG PA
5645 MAIN ST
FLUSHING, NY 11355
Phone number: 347-804-5653
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Mailing Address
MR. FREDRICK VA WONG PA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 347-804-5653
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