Individual provider · Type 1 NPI

Amelia Jan Wong, CPNP

Pediatric Nurse Practitioner · New York, NY

NPI number 1699726513 Active

Practice location

227 Madison St, Gouverneur Healthcare Services Pediatrics
New York, NY 10002-7537

Fax (212) 238-7799

Mailing address

30 W 60th St, Apt. 11F
New York, NY 10023-7902

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF380429-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699726513

Amelia Jan Wong, CPNP's National Provider Identifier is 1699726513, issued on May 15, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Mar 15, 2017.