IndividualActive
Christine Wong, DDS
NPI 1093073637 · Periodontics · New York, NY
Provider details
- NPI number
- 1093073637
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 056838-1 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
110 E 40th St Rm 104
New York, NY 10016
Phone: (212) 682-2965
Approximate (ZIP-level) locationGet directions
Mailing address
1563 Parker Ave
Fort Lee, NJ 07024-7002
Additional practice locations (2)
- 491 Amwell Rd Ste 204Hillsborough, NJ 08844-8212Phone: (908) 431-0000
- 139 Centre StSuite 602New York, NY 10013Phone: (212) 966-5726
Registry dates
- Enumerated
- 2012-05-02
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.