person
Su-lan Wong, NP
Adult Health Nurse Practitioner in Northport, New York
NPI 1104882901

Su-lan Wong is an Adult Health Nurse Practitioner based in Northport, NY and is specialized in Adult Health. Su-lan Wong practices in Northport, NY and has the professional credentials of NP. The NPI Number for Su-lan Wong is 1104882901 and holds a License No. F301017-1 (New York).

The current practice location address for Su-lan Wong is 79 Middleville Rd, Northport, NY and can be reached out via phone at 631-261-4400 and via fax at 631-266-6030.

Location: 79 Middleville Rd, Northport, NY, 11768-2200
person
Provider Profile Details
NPI Number
1104882901
Provider Name
Su-lan Wong
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
79 Middleville Rd, Northport, NY, 11768-2200
Phone Number
631-261-4400
Fax Number
631-266-6030
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
79 Middleville Rd
City
State
Zip
11768-2200
Phone Number
631-261-4400
Fax Number
631-266-6030
person
Provider Business Mailing Address Details
Address
79 Middleville Rd
City
State
Zip
11768-2200
Phone Number
631-261-4400
Fax Number
631-266-6030
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F301017-1 (New York)
Definition
Definition to come...
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