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Sally S Wong, M.S., R.D., C.D.N

Dietitian, Registered in New York, NY. Individual provider (NPI-1).

NPI number1033308366
StatusActive
Last updated in NPPESOct 23, 2007

Details

NPI
1033308366
Entity type
Individual (NPI-1)
Name
Ms. Sally S Wong
Credential
M.S., R.D., C.D.N
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 23, 2007
Last updated
Oct 23, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered005757-1NYYes

Practice location

254 Canal St
Suite 3002
New York, NY 10013-3501

Phone 212-431-8808

Mailing address

15014 Jewel Ave
Apt. 53b
Flushing, NY 11367-1434

Phone 917-696-4665

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Dietitian providers in New York, NY

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