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NPI Code Detail

MEDICARE: AN NHA WONG

MEDICARE: AN NHA 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
1183500000XPharmacist058511NY

General Provider Information

NPI Number : 1730514159
Entity Type Code : Individual
Provider Name (Legal Business Name) : AN NHA WONG
Provider Business Mailing Address
First Line : 2532 86TH ST # 54
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4439
Country : US
Telephone Number : 718-946-6490
Fax Number :
Provider Business Practice Location Address
First Line : 2532 86TH ST # 54
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4439
Country : US
Telephone Number : 718-946-6490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2013
Last Update Date : 12/30/2021

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Directions to “ AN NHA WONG ” Practice Location

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