Su-Lan Wong, NP
Nurse Practitioner, Adult Health in Northport, NY. Individual provider (NPI-1).
NPI number1104882901
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104882901
- Entity type
- Individual (NPI-1)
- Name
- Su-Lan Wong
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F301017-1 | NY | Yes |
Practice location
79 Middleville RdNorthport, NY 11768-2200
Phone 631-261-4400 · Fax 631-266-6030
Mailing address
79 Middleville RdNorthport, NY 11768-2200
Phone 631-261-4400 · Fax 631-266-6030
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