Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Joann P Wongvravit, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558982777

Dr. Joann P Wongvravit, DO is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (646) 258-5258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 324992 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558982777
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 28, 2020
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

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