Individual ProviderTrevor S WongPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2500 Route 347, Suite 8d, Stony Brook, NY 11790-2555(631) 828-5761PECOS EnrollmentBased on the most recent information from CMS, provider Trevor S Wong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184614935Provider TypeIndividualFull NameWong, Trevor SCredentialPT,DPTGenderMaleSole ProprietorYesEnumeration Date10/24/2005Last Updated2/17/2009Contact InformationPractice LocationPractice Address2500 Route 347, Suite 8d, Stony Brook, NY 11790-2555Phone(631) 828-5761Fax(631) 828-5761Mailing LocationMailing Address2500 Route 347, Suite 8d, Stony Brook, NY 11790-2555Phone(631) 828-5761Fax(631) 828-5761Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense026809-1New York