# JASON SZEPOK KONG DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114182219
- **Authorized official:** DR. JASON SZEPOK KONG D.O (PRESIDENT)
- **Authorized official phone:** (718) 551-1401

## Contact information

- **Practice address:** 3901 MAIN ST, 309, FLUSHING, NY 11354-5432
- **Practice address phone:** (718) 886-2906
- **Practice address fax:** (718) 301-1775
- **Mailing address:** 3901 MAIN ST, 309, FLUSHING, NY 11354-5432
- **Mailing address phone:** (718) 886-2906
- **Mailing address fax:** (718) 301-1775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 246399 | NY | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 12/16/2014