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33D2243095 CLIA NUMBER - MAICIE WONG MD PC

Laboratory Demographics

CLIA Number: 33D2243095

Facility Name: MAICIE WONG MD PC

Facility Address:
16 EAST 79TH ST STE 23
NEW YORK, NY
ZIP 10075
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Facility Phone Number: 212 355-8100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1922171925

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 33D2243095
LAB Type Physician Office
Facility Name MAICIE WONG MD PC
Street 16 EAST 79TH ST STE 23
City NEW YORK
State NY
ZIP 10075
Phone 212 355-8100
CertificateType 4
CertificateEffectiveDate 11/16/2023
CertificateExpirationDate 11/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024