Individual
DR. PETER FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1148 DEER PARK AVE, NORTH BABYLON, NY 11703-3102
(631) 242-0808
Mailing address
1148 DEER PARK AVE, NORTH BABYLON, NY 11703-3102
(631) 242-0808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007929
NY
Other
Enumeration date
11/20/2012
Last updated
12/15/2021
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