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

Jacqueline Tin Wai Wong Lo

Individual provider Specialist · NPI 1336583137

Jacqueline Tin Wai Wong Lo is a Specialist in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

18802 48th Ave
Fresh Meadows, NY 11365-1243
Phone: (718) 746-4976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 519895111 (NY)

Record details

NPI number1336583137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2013
Last updated in NPPESApril 28, 2013

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