Wong, Samuel

Wong, Samuel is an sole proprietor health care provider with primary practice located at 13626 37Th Ave , Flushing NY 11354-6533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wong, Samuel can be contacted via phone (718) 886-1200.

Contact Information

Primary practice address
13626 37Th Ave Flushing NY 11354-6533
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 208297 New York
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 208297 New York

Profile Details

NPI number 1962465278
LBN Legal business name Wong, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2006
Last updated Feb 21st, 2013 - about 12 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 1962465278 NPPES
New York MEDICAID 02021850

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