Healthcare Provider Details

I. General information

NPI: 1043969355
Provider Name (Legal Business Name): WENDY TONG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 STATION PLZ N STE 400
MINEOLA NY
11501-3893
US

IV. Provider business mailing address

222 STATION PLZ N STE 400
MINEOLA NY
11501-3893
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-2052
  • Fax:
Mailing address:
  • Phone: 516-663-2052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number338527
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.080049
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: