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Contact Information

RAYMOND WONG
75 N COUNTRY RD
PORT JEFFERSON, NY11777-2119
 Phone: 631-686-7654
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RAYMOND WONG · (Male)

NPI # 1023462686
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2016
Last updated 11/06/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 299151
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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