MEDICARE: MRS. WING MUN WONG-TOM PT, MS, OCS

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	174400000X	Specialist	16591	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1498848	OTHER		GREAT WEST LIFE
2	2022970	OTHER	NY	UNITED HEALTHCARE
3	20-8909574	OTHER	NY	MAGNACARE
4	Q128H1	OTHER	NY	EMPIRE BCBS

General Provider Information

NPI Number	:	1487699021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WING MUN WONG-TOM PT, MS, OCS

Provider Business Mailing Address
First Line	:	2 BAYARD ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-3706
Country	:	US
Telephone Number	:	917-757-5135
Fax Number	:	917-522-9623

Provider Business Practice Location Address
First Line	:	2 BAYARD ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-3706
Country	:	US
Telephone Number	:	917-757-5135
Fax Number	:	917-522-9623

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	11/11/2008

Similar Medicare Providers

1710525514 — IRA BACE
Practice Location Address:

146 FREEDOM AVE
STATEN ISLAND, NY
10314-3706

Practice Phone: 347-609-1928
Practice Fax:

1326994682 — JACKLYN HALIBAS TAN LMHCA
Practice Location Address:

3970 96TH AVE SE
MERCER ISLAND, WA
98040-3706

Practice Phone: 425-628-0111
Practice Fax:

1922482488 — OPEN DOOR NY HOME CARE SERVICES, INC.
Practice Location Address:

2816 41ST AVE
LONG ISLAND CITY, NY
11101-3706

Practice Phone: 917-589-0283
Practice Fax:

1578927612 — THE WOMEN'S COLLECTIVE
Practice Location Address:

1331 RHODE ISLAND AVE NE
WASHINGTON, DC
20018-3706

Practice Phone: 202-483-7003
Practice Fax:

1851248058 — ANNADALE FAMILY CHOICE PHARMACY INC
Practice Location Address:

831 ANNADALE RD
STATEN ISLAND, NY
10312-3133

Practice Phone: 718-227-0710
Practice Fax: 718-227-0714

1033067988 — MRS. GABRIELLE ANN SCHIRALDI LMSW
Practice Location Address:

4456 AMBOY RD
STATEN ISLAND, NY
10312-3897

Practice Phone: 646-573-1570
Practice Fax:

Directions to “ MRS. WING MUN WONG-TOM PT, MS, OCS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.