Provider Demographics
NPI:1255598033
Name:WONG, RACHEL GIAJING (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:GIAJING
Last Name:WONG
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Mailing Address - Street 2:HEALTH SCIENCES CENTER, T16-020
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-7048
Mailing Address - Country:US
Mailing Address - Phone:631-444-1106
Mailing Address - Fax:631-444-2493
Practice Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Practice Address - Street 2:HEALTH SCIENCES CENTER, T16-020
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-7048
Practice Address - Country:US
Practice Address - Phone:631-444-1106
Practice Address - Fax:631-444-2493
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2011-07-01
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Provider Licenses
StateLicense IDTaxonomies
NY261392207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine