Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 283860 | NY |
NPI | 1326336322 |
---|---|
Provider Name | Dr. Che Hang Jason Wong |
First Address | Brooklyn, NY 11204-6079 |
Second Address | Brooklyn, NY 11204-6079 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2011 |
Last Update Date | 02/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04867474 | (05) | NY |