Provider Demographics
NPI:1982924882
Name:WONG, WING-SZE (PHARM D)
Entity Type:Individual
Prefix:
First Name:WING-SZE
Middle Name:
Last Name:WONG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 LEAVITT ST
Mailing Address - Street 2:2ND FL.
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3440
Mailing Address - Country:US
Mailing Address - Phone:917-854-8948
Mailing Address - Fax:
Practice Address - Street 1:3315 LEAVITT ST
Practice Address - Street 2:2ND FL.
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3440
Practice Address - Country:US
Practice Address - Phone:917-854-8948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist