Physician Compare National (NPI:1053332411)

HEALTHCARE PROVIDER: HELEN WONG MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053332411
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608761366
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050830000112
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WONG
	Individual professional last name
Provider First Name	HELEN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FLH MEDICAL PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6507922358
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	54
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	410 CLIFTON SPRINGS PROFESSIONAL PARK
	Group Practice or individual's line 1 address
City	CLIFTON SPRINGS
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	144321037
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3154627001
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FINGER LAKE HEALTH-GENEVA GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	331314
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330265
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CLIFTON SPRINGS HOSPITAL AND CLINIC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y