Individual provider · Type 1 NPI
Rosalie L. Wong, MD
Pediatric Adolescent Medicine Physician · Port Jefferson Station, NY
NPI number
1992824866
Active
Practice location
5225 Nesconset Hwy, Suite 36
Port Jefferson Station, NY 11776
Fax (631) 928-4910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 111647 (NY) |
Pediatric Adolescent Medicine Physician: A pediatrician who 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.
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About NPI 1992824866
Rosalie L. Wong, MD's National Provider Identifier is 1992824866, issued on Mar 29, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 8, 2007.