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NPI Code Detail

MEDICARE: MIN AUNG WONG MEDICAL P.C.

MEDICARE: MIN AUNG WONG MEDICAL P.C.
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
1207R00000XInternal Medicine Physician208593NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1208593OTHERNYLICENSE

General Provider Information

NPI Number : 1356518609
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIN AUNG WONG MEDICAL P.C.
Provider Business Mailing Address
First Line : 5423 7TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3186
Country : US
Telephone Number : 718-871-8885
Fax Number : 718-871-8883
Provider Business Practice Location Address
First Line : 5423 7TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3186
Country : US
Telephone Number : 718-871-8885
Fax Number : 718-871-8883
Authorized Official
Title or Position : MD
Name : MIN AUNG WONG
Credential :
Telephone Number : 718-871-8885
Provider Enumeration Date : 05/14/2008
Last Update Date : 05/03/2025

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