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General NPI Number Information
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NPI Number | 1538321336
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Entity Type | Individual
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Provider Name | PUI YIN WONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | FIRST AVE AT 16TH STREET 2 BERSTEIN
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-844-1912
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Fax |
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Provider Business Mailing Address
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Address Line | 7 STUYVESANT OVAL APT 8D #8D
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City | NEW YORK
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State | NY
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Zip | 10009-1907
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Country | US
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Telephone | 917-915-8586
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 003326
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 269862-1
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License Number State | NY
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