Provider Demographics
NPI:1205015138
Name:WONG, SZE KAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SZE KAR
Middle Name:
Last Name:WONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:WONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3990 NESCONSET HWY
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3334
Mailing Address - Country:US
Mailing Address - Phone:361-474-3698
Mailing Address - Fax:631-474-3732
Practice Address - Street 1:3990 NESCONSET HWY
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3334
Practice Address - Country:US
Practice Address - Phone:361-474-3698
Practice Address - Fax:631-474-3732
Is Sole Proprietor?:No
Enumeration Date:2007-10-27
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050464-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist