MEDICARE: YU-KING WONG D.C., PLLC

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	111N00000X	Chiropractor	X012852-1	NY

General Provider Information

NPI Number	:	1255834636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YU-KING WONG D.C., PLLC

Provider Business Mailing Address
First Line	:	133 S CENTRE AVE
Second Line	:
City	:	ROCKVILLE CENTRE
State	:	NY
Zip	:	11570-5784
Country	:	US
Telephone Number	:	814-932-1702
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 BROADWAY STE 5052
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-1905
Country	:	US
Telephone Number	:	917-553-3865
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. YU-KING WONG
Credential	:	DC
Telephone Number	:	814-932-1702

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	03/13/2018

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