Dr. Alexandria Venus Wong, OD
Optometrist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1982116562
StatusActive
Last updated in NPPESNov 3, 2017
Details
- NPI
- 1982116562
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexandria Venus Wong
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2017
- Last updated
- Nov 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 008699 | NY | Yes |
Practice location
121 Court StBrooklyn, NY 11201-5608
Phone 718-858-7036
Mailing address
468 Franklin Ave Apt 3Brooklyn, NY 11238-2603
Phone 929-270-2796
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