National Provider Identifier

Gwen-Yee Wong, MPT

Gwen-Yee Wong, MPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Brockport, NY and a listed phone number of (585) 637-0790.

NPI 1760774764Brockport, NYPhysical Therapist

Profile Overview

NPI
1760774764
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
May 09, 2011
Last Updated
May 09, 2011

Practice Location

  • 92 West Ave
  • Brockport, NY 14420-1306

Phone: (585) 637-0790

Mailing Address

  • 420 Westfall RD
  • A5
  • Rochester, NY 14620-4649

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1760774764
Entity Type
Individual
Last Name
Wong
First Name
Gwen-Yee
Credential
MPT
Mailing Street Address
420 Westfall RD
Mailing Address Line 2
A5
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4649
Mailing Country
US
Practice Street Address
92 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1306
Practice Country
US
Practice Phone
(585) 637-0790
Practice Fax
(585) 637-3572
Enumeration Date
May 09, 2011
Last Updated
May 09, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)