Individual ProviderKevin WongStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave L Levy Pl, New York, NY 10029(212) 241-6500(212) 241-2258PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Wong is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1205331238Provider TypeIndividualFull NameWong, KevinTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/30/2018Last Updated3/30/2018Contact InformationPractice LocationPractice AddressOne Gustave L Levy Pl, New York, NY 10029Phone(212) 241-6500FaxUnlisted FaxMailing LocationMailing Address1 Gustave L Levy Pl, New York, NY 10029Phone(212) 241-2258FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer