Wong, Alfredo
Wong, Alfredo is an sole proprietor health care provider with primary practice located at 15211 89Th Ave Rm.#5100, Jamaica NY 11432-3730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wong, Alfredo can be contacted via phone (212) 533-1701.Contact Information
Primary practice address
15211 89Th Ave Rm.#5100
Jamaica NY 11432-3730
Phone: (212) 533-1701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 176650-1 | New York |
Profile Details
| NPI number | 1093738650 |
|---|---|
| LBN Legal business name | Wong, Alfredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093738650 | NPPES |
| New York | Other | 176650 | HEALTHFIRST |
| New York | Other | 176650 | HEALTHFIRST |
| New York | MEDICAID | 02194067 | HEALTHFIRST |
| New York | Other | 176650 | HEALTHFIRST |
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