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General NPI Number Information
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NPI Number | 1235136128
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Entity Type | Individual
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Provider Name | CHILING WONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 101 SAINT ANDREWS LN
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City | GLEN COVE
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State | NY
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Zip | 11542-2254
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Country | US
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Telephone | 516-674-7591
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Fax |
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Provider Business Mailing Address
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Address Line | 480 BEDFORD RD STE 4202
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City | CHAPPAQUA
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State | NY
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Zip | 10514-1716
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Country | US
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Telephone | 914-666-8866
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Fax | 914-666-6777
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 201928
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License Number State | NY
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