Individual provider · Type 1 NPI

Su-Lan Wong, NP

Adult Health Nurse Practitioner · Northport, NY

NPI number 1104882901 Active

Practice location

79 Middleville Rd
Northport, NY 11768-2200

Fax (631) 266-6030

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF301017-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1104882901

Su-Lan Wong, NP's National Provider Identifier is 1104882901, issued on Apr 21, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Northport, NY. The record was last updated on Jul 13, 2026.