MEDICARE: WAI LOON BONG PA

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	363AM0700X	Medical Physician Assistant	018246	NY

General Provider Information

NPI Number	:	1184020315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAI LOON BONG PA

Provider Business Mailing Address
First Line	:	14031 CHERRY AVE STE CA
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-3169
Country	:	US
Telephone Number	:	646-687-2838
Fax Number	:

Provider Business Practice Location Address
First Line	:	14031 CHERRY AVE STE CA
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-3169
Country	:	US
Telephone Number	:	646-687-2838
Fax Number	:

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

Provider Enumeration Date	:	11/17/2014
Last Update Date	:	05/04/2026

Similar Medicare Providers

1750008587 — LOJIN EUNICE KONG
Practice Location Address:

5709 MAIN ST
FLUSHING, NY
11355-5332

Practice Phone: 347-438-1068
Practice Fax:

1245750520 — SEONGRAK KANG
Practice Location Address:

14714 SANFORD AVE
FLUSHING, NY
11355-1358

Practice Phone: 718-886-6268
Practice Fax:

1275417016 — JING LUO
Practice Location Address:

14015B SANFORD AVE FL 2
FLUSHING, NY
11355-2557

Practice Phone: 315-413-9070
Practice Fax:

1538096417 — BASSAM AL HALY MD
Practice Location Address:

5645 MAIN ST
FLUSHING, NY
11355-5045

Practice Phone: 718-670-2456
Practice Fax:

1619804598 — LIYUAN WANG LCSW PLLC
Practice Location Address:

4370 KISSENA BLVD APT 26E
FLUSHING, NY
11355-3750

Practice Phone: 765-277-4585
Practice Fax:

1487581286 — SURIN LEE
Practice Location Address:

56-45 MAIN STREET
FLUSHING, NY
11355

Practice Phone: 718-670-1347
Practice Fax:

Directions to “ WAI LOON BONG PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.