Wing Mun Wong-Tom in Staten Island - Specialist
Wing Mun Wong-Tom - NPI 1487699021
Wing Mun Wong-Tom is a Specialist in Staten Island, New York. Wing Mun Wong-Tom practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wing Mun Wong-Tom is 1487699021. The last update date is 2008-11-11.
Wing Mun Wong-Tom's current location address is 2 Bayard St, Staten Island, New York. You can contact this provider via phone number 9177575135 and fax number 9175229623. The mailing address for Wing Mun Wong-Tom is 2 Bayard St, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wing Mun Wong-Tom |
|---|---|
| Address | 2 Bayard St, Staten Island, New York |
| Phone Number | 9177575135 |
| Fax Number | 9175229623 |
| Sole Proprietor | Y |
| Credentials | PT, MS, OC |
NPI Number Detail
| NPI Number | 1487699021 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2008-11-11 |
Provider Mailing Address Detail
| Address | 2 Bayard St |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103123706 |
| Phone Number | 9177575135 |
| Fax Number | 9175229623 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16591 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1498848 | GREAT WEST LIFE | ||
| 2022970 | NY | UNITED HEALTHCARE | |
| 20-8909574 | NY | MAGNACARE | |
| Q128H1 | NY | EMPIRE BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wing Mun Wong-Tom?
The Wing Mun Wong-Tom has been issued the NPI (National Provider Identifier) 1487699021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Wing Mun Wong-Tom?
The Wing Mun Wong-Tom is situated at 2 Bayard St, in the city of Staten Island, state of NY, with the zip code 103123706.
What is Wing Mun Wong-Tom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wing Mun Wong-Tom is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487699021 to Wing Mun Wong-Tom?
The Centers for Medicare & Medicaid Services assigned the 1487699021 to Wing Mun Wong-Tom on 2006-06-18.
As of what date were the details related to Wing Mun Wong-Tom most recently updated or revised?
The information pertaining to Wing Mun Wong-Tom, including its address, specialty, and other relevant details, was last updated or revised on 2008-11-11.
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