Wong, Winston

Wong, Winston is an individual health care provider with primary practice located at Crhp-711 Troy-Schenectady Rd Suite 101, Latham NY 12110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Wong, Winston can be contacted via phone (518) 783-3110.

Contact Information

Primary practice address
Crhp-711 Troy-Schenectady Rd Suite 101 Latham NY 12110
Phone: (518) 783-3110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 123644 New York
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 123644 New York

Profile Details

NPI number 1861576639
LBN Legal business name Wong, Winston
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 7th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861576639 NPPES
New York MEDICAID 01160154

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