Provider Demographics
NPI:1801242656
Name:WONG, YOKE WEI
Entity type:Individual
Prefix:
First Name:YOKE
Middle Name:WEI
Last Name:WONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 FARRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2826
Mailing Address - Country:US
Mailing Address - Phone:718-762-3333
Mailing Address - Fax:718-886-3312
Practice Address - Street 1:3527 FARRINGTON ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2826
Practice Address - Country:US
Practice Address - Phone:718-762-3333
Practice Address - Fax:718-886-3312
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB 02111172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver