DR. Stephanie Leah Wong, OD

NPI #1184926305 in Corona, New York

Provider Information

NPI Number: 1184926305
Entity Type: Individual
Name: DR. Stephanie Leah Wong, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 19, 2010
Last Updated: Nov 19, 2010

Practice Location

Address: 10219 ROOSEVELT AVE
City: Corona
State: New York
ZIP Code: 11368-2331
Phone: (718) 507-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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