Individual provider · Type 1 NPI
Carmen Wong, NP
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1134829302
Active
Practice location
Rivia Medical Pllc Dba Rivia Mind 274 Madison Ave, Suite 1501
New York, NY 10016
Fax (646) 665-4427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404821 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1134829302
Carmen Wong, NP's National Provider Identifier is 1134829302, issued on Mar 7, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Jun 26, 2026.