MEDICARE: DR. KAREN A WONG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	294693	NY
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	294693	NY
3	207RP1001X	Pulmonary Disease Physician	294693	NY

General Provider Information

NPI Number	:	1003296674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN A WONG M.D.

Provider Business Mailing Address
First Line	:	8002 KEW GARDENS RD STE 402
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-3613
Country	:	US
Telephone Number	:	929-485-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8002 KEW GARDENS RD STE 402
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-3613
Country	:	US
Telephone Number	:	929-485-0300
Fax Number	:	347-561-6645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2015
Last Update Date	:	12/18/2023

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