Individual provider · Type 1 NPI

Jacqueline Tin Wai Wong Lo

Specialist · Fresh Meadows, NY

NPI number 1336583137 Active

Practice location

18802 48th Ave
Fresh Meadows, NY 11365-1243

Call (718) 746-4976 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X519895111 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1336583137

Jacqueline Tin Wai Wong Lo's National Provider Identifier is 1336583137, issued on Apr 23, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Apr 28, 2013.