Healthcare Provider Details

I. General information

NPI: 1669760278
Provider Name (Legal Business Name): JOYCE S WONG ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2011
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HICKSVILLE RD
SEAFORD NY
11783-1300
US

IV. Provider business mailing address

2 WHITNEY RD
BAYVILLE NY
11709-2407
US

V. Phone/Fax

Practice location:
  • Phone: 516-798-0141
  • Fax: 516-798-0694
Mailing address:
  • Phone: 516-476-8286
  • Fax: 516-476-8286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF305752-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: