Wong, Lisa

Wong, Lisa is an sole proprietor health care provider with primary practice located at 7575 31St Ave , East Elmhurst NY 11370-1811. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wong, Lisa can be contacted via phone (718) 446-0300.

Contact Information

Primary practice address
7575 31St Ave East Elmhurst NY 11370-1811
Phone: (718) 446-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 042702 New York

Profile Details

NPI number 1558542878
LBN Legal business name Wong, Lisa
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2007
Last updated Jan 1st, 2023 - about 2 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 1558542878 NPPES
New York MEDICAID 042702
New York MEDICAID I042702

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