Provider Demographics
NPI:1548609662
Name:WONG, PO YEE
Entity Type:Individual
Prefix:MISS
First Name:PO
Middle Name:YEE
Last Name:WONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 ELDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2968
Mailing Address - Country:US
Mailing Address - Phone:212-792-4502
Mailing Address - Fax:212-226-5351
Practice Address - Street 1:165 ELDRIDGE ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-2968
Practice Address - Country:US
Practice Address - Phone:212-792-4502
Practice Address - Fax:212-226-5351
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator