Look up the most recent NPI and PECOS records

Mary Lynn Wong

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

(914) 493-1990

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Lynn Wong is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 1:00 PM.

Profile Details

Provider ID
1932850435
Provider Type
Individual
Full Name
Wong, Mary Lynn
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/16/2022
Last Updated
1/16/2022

Contact Information

Practice Location

100 Woods Rd, Valhalla, NY 10595-1530

(914) 493-1990

Unlisted Fax

Mailing Location

100 Woods Rd, Valhalla, NY 10595-1530

(914) 493-1990

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 349132 New York

Mary Lynn Wong

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

O'Keefe, Kathleen A

Caldarola, Dina Eileen

Smyth, Emily

Benoit, Tamara

Tejada, Delilah C

Gannon, Lecia Christine

Dileo, Donna Marie

Nair, Jayasree

Lyden, Sandra Jean

Nesi, Emily