Catherine Wong

NPI #1477908424 in Woodside, New York

Provider Information

NPI Number: 1477908424
Entity Type: Individual
Name: Catherine Wong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Apr 27, 2016
Last Updated: Aug 17, 2016

Practice Location

Address: 4610 61ST ST
Address 2: APT 11B
City: Woodside
State: New York
ZIP Code: 11377-5766
Phone: (646) 301-5633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Dietitian, Registered	133V00000X	Primary
Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric	133VN1004X

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