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General NPI Number Information
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NPI Number | 1114719267
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Entity Type | Organization
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Legal Business Name | PHILIP WONG MD PLLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 71 LOCUST ST
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City | FLORAL PARK
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State | NY
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Zip | 11001-3106
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Country | US
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Telephone | 646-389-7768
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Fax | 646-916-3798
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Provider Business Mailing Address
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Address Line | 71 LOCUST ST
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City | FLORAL PARK
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State | NY
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Zip | 11001-3106
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Country | US
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Telephone | 646-389-7768
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Fax | 646-916-3798
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Authorized Official
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Title or Position | OWNER
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Name | PHILIP WONG
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Credential |
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Telephone | 646-389-7768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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