| Doctor Name: | MRS. JOYCE S WONG |
| NPI Number: | 1669760278 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F305752-1 |
| Business Practice Address: | 41 Bay Ave East Moriches, NY - 119401209 |
| Business Phone Number: | 6318781543 |
| Business Fax Number: | 6318742559 |
| Mailing Address: | 41 Bay Ave, EAST MORICHES |
| State: | NY |
| Postal Code: | 119401209 |
| Phone Number: | 6318781543 |
| Fax Number: | 6318742559 |
| NPI Enumeration Date: | 07/16/2011 |
| NPI Last Update Date: | 07/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F305752-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |