Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 266486 | NY |
NPI | 1245523240 |
---|---|
Provider Name | Margaret Wong |
First Address | New York, NY 10013-4396 |
Second Address | New York, NY 10013-4396 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2011 |
Last Update Date | 22/01/2014 |