# RAYMOND FONG MD, PC

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

## Provider details

- **NPI number:** 1184837437
- **Authorized official:** DR. RAYMOND FONG M.D. (PRESIDENT)
- **Authorized official phone:** (212) 274-1900

## Contact information

- **Practice address:** 109 LAFAYETTE ST, SUITE 502, NEW YORK, NY 10013-4154
- **Practice address phone:** (212) 274-1900
- **Practice address fax:** (212) 274-0738
- **Mailing address:** 109 LAFAYETTE ST, 4 FLOOR, NEW YORK, NY 10013-4154
- **Mailing address phone:** (212) 274-1900
- **Mailing address fax:** (212) 274-0738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 11/16/2010