MEDICARE: MRS. JOANNA WONG P.T.

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
1	225100000X	Physical Therapist	021220-01	NY
2	225100000X	Physical Therapist	021220	NY

General Provider Information

NPI Number	:	1477706919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANNA WONG P.T.

Provider Business Mailing Address
First Line	:	12 HARRIET DR
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-5107
Country	:	US
Telephone Number	:	646-258-2085
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 35TH AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11101-1441
Country	:	US
Telephone Number	:	718-706-7500
Fax Number	:	718-706-9595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	07/07/2025

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Directions to “ MRS. JOANNA WONG P.T.” Practice Location

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