Provider Demographics
NPI:1528032257
Name:WONG, NANCY N (OD, PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:N
Last Name:WONG
Suffix:
Gender:F
Credentials:OD, PHD
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Other - Credentials:
Mailing Address - Street 1:100 ALBANY POST RD
Mailing Address - Street 2:VA HUDSON VALLEY HEALTH CARE SYSTEM - OPTOMETRY SERVICE
Mailing Address - City:MONTROSE
Mailing Address - State:NY
Mailing Address - Zip Code:10548-1415
Mailing Address - Country:US
Mailing Address - Phone:914-737-4400
Mailing Address - Fax:914-788-4373
Practice Address - Street 1:100 ALBANY POST RD
Practice Address - Street 2:VA HUDSON VALLEY HEALTH CARE SYSTEM - OPTOMETRY SERVICE
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10548-1415
Practice Address - Country:US
Practice Address - Phone:914-737-4400
Practice Address - Fax:914-788-4373
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYVUT 005839152W00000X
TNOD0000002339152W00000X
MA4024152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist