# RAYMOND FONG MD, PC

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

## Provider details

- **NPI number:** 1619196516
- **Authorized official:** DR. RAYMOND FONG M.D. (PRESIDENT)
- **Authorized official phone:** (718) 762-3790

## Contact information

- **Practice address:** 13620 38TH AVE, SUITE 6H, FLUSHING, NY 11354-4233
- **Practice address phone:** (718) 762-3790
- **Practice address fax:** (718) 762-3801
- **Mailing address:** 13620 38TH AVE, SUITE 6H, FLUSHING, NY 11354-4233
- **Mailing address phone:** (718) 762-3790
- **Mailing address fax:** (718) 762-0138

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 11/16/2010