Most Relevant Information
Provider Data
NPI Number: | 1003635996 |
Provider Name: | WENDY KONG MPH, PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 10/08/2024 |
Last Updated: | 10/09/2024 |
Provider Practice Location
150 55TH ST
BROOKLYN
NY
112202508
Practice Location Phone/Fax
Phone: | 7186307000 |
Fax: |
Provider Mailing Location
150 55TH ST
BROOKLYN
NY
112202508
Provider Mailing Phone/Fax
Phone: | 7186307000 |
Fax: |