Rosalie L. Wong
M.D. | Pediatric Adolescent Medicine | Female
Rosalie L. Wong, M.D. is a Port Jefferson Station, New York based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Rosalie L. Wong is
5225 Nesconset Hwy, Suite 36, Port Jefferson Station, New York - 11776. She can be contacted on phone at
631-928-4870 and fax number 631-928-4910.
Rosalie L. Wong is a sole proprietor of her business.
NPI number (Unique professional ID) for Rosalie L. Wong is
1992824866 which was assigned by NPPES on 29 Mar, 2007 and it was last updated on 08 Jul, 2007.
Rosalie L. Wong license number is
111647 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Rosalie L. Wong specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Rosalie L. Wong basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Rosalie L. Wong |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Rosalie L. Wong address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5225 Nesconset Hwy, Suite 36
Port Jefferson Station, NY, 11776
United States |
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| Phone Number : | 631-928-4870 |
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| Fax Number : | 631-928-4910 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992824866 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Mar, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rosalie L. Wong are as mentioned. Primary taxonomy code for Rosalie L. Wong, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 111647 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5225 Nesconset Hwy, Suite 36
Port Jefferson Station, NY, 11776-2053
United States |
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| Phone Number : | 631-928-4870 |
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| Fax Number : | 631-928-4910 |
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Business Location:
Patients can refer following map for directions to
Rosalie L. Wong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.