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Organization
RAYMOND FONG MD, PC
Active
Organization
RAYMOND FONG MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND FONG M.D. (PRESIDENT)
(718) 762-3790
Entity
Organization
Contact information
Practice address
13620 38TH AVE, SUITE 6H, FLUSHING, NY 11354-4233
(718) 762-3790
(718) 762-3801
Mailing address
13620 38TH AVE, SUITE 6H, FLUSHING, NY 11354-4233
(718) 762-3790
(718) 762-0138
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
11/16/2010
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