Provider Demographics
NPI:1043605132
Name:WONG, ANDREW K (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:K
Last Name:WONG
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:81 ELIZABETH ST STE 601
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4729
Mailing Address - Country:US
Mailing Address - Phone:212-361-3686
Mailing Address - Fax:212-361-6101
Practice Address - Street 1:81 ELIZABETH ST STE 601
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4729
Practice Address - Country:US
Practice Address - Phone:212-361-3686
Practice Address - Fax:212-361-6101
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY006917213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery