Doctor Name: | TREVOR S WONG |
NPI Number: | 1184614935 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT,DPT |
License Number: | 026809-1 |
Business Practice Address: | 2500 Route 347 Suite 8d Stony Brook, NY - 117902555 |
Business Phone Number: | 6318285761 |
Business Fax Number: | 6318285761 |
Mailing Address: | 2500 Route 347, Suite 8d STONY BROOK |
State: | NY |
Postal Code: | 117902555 |
Phone Number: | 6318285761 |
Fax Number: | 6318285761 |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 02/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 026809-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |