| Doctor Name: | MS. ANITA WONG |
| NPI Number: | 1083890313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPH, RD, CNSC, CDN |
| License Number: | |
| Business Practice Address: | 6519 Borden Ave Maspeth, NY - 113781630 |
| Business Phone Number: | 7188990060 |
| Business Fax Number: | 7188990175 |
| Mailing Address: | 5645 Main St, Department Of Food And Nutrition FLUSHING |
| State: | NY |
| Postal Code: | 113555045 |
| Phone Number: | 9178614484 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2008 |
| NPI Last Update Date: | 08/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |