DR. MARY LEE-WONG MD

Allergy and Immunology

New York, New York

Provider NPI: 1962483685

Provider Information:
DR. MARY  LEE-WONG MD


Practice Location:
10 UNION SQ E STE 3F BIMC DEPT OF ALLERGY NEW YORK, NY 10003 US
Tel: 212-420-4013  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	NY	177215
N	207R00000X	Physicians Internal Medicine	NY	177215
N	208000000X	Physicians Pediatrics	NY	177215

Other Provider Identifiers:

Issuer	Number	State	Type
	01440904	NY	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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