Wong, David Tom

Wong, David Tom is an individual health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457-7606. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Wong, David Tom can be contacted via phone (718) 518-5814.

Contact Information

Primary practice address
1650 Grand Concourse Bronx NY 10457-7606
Phone: (718) 518-5814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N006302 New York

Profile Details

NPI number 1245475581
LBN Legal business name Wong, David Tom
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Mar 12th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245475581 NPPES
New York MEDICAID 03399731

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