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General NPI Number Information
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NPI Number | 1326176249
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Entity Type | Organization
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Legal Business Name | 8TH AVE OPHTHALMOLOGY PC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 757 55TH STREET
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City | BROOKLYN
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State | NY
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Zip | 11220
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Country | US
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Telephone | 718-437-9282
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Fax | 718-437-9282
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Provider Business Mailing Address
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Address Line | 757 55TH STREET
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City | BROOKLYN
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State | NY
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Zip | 11220
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Country | US
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Telephone | 718-437-9282
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Fax | 718-437-9284
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHY KWOK FUN MAN-WONG
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Credential | M.D
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Telephone | 718-437-9282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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