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NPI Code Detail

MEDICARE: PETER CHIN-HEI WONG

MEDICARE:   PETER CHIN-HEI WONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist044083NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154507002
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER CHIN-HEI WONG
Provider Business Mailing Address
First Line : 6112 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4610
Country : US
Telephone Number : 718-439-4966
Fax Number : 718-439-4972
Provider Business Practice Location Address
First Line : 6112 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4610
Country : US
Telephone Number : 718-439-4966
Fax Number : 718-439-4972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 01/10/2008

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Directions to “ PETER CHIN-HEI WONG ” Practice Location

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