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Diandra Wong

Emergency Medicine in New York, NY. Individual provider (NPI-1).

NPI number1013545425
StatusActive
Last updated in NPPESSep 21, 2026

Details

NPI
1013545425
Entity type
Individual (NPI-1)
Name
Diandra Wong
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2020
Certification date
Sep 21, 2026
Last updated
Sep 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine328647NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

150 E 42nd St Fl 4
New York, NY 10017-5612

Phone 212-824-8069

Mailing address

1 Gustave L. Place, Box 1149
New York, NY 10029

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