Organization
RAYMOND FONG M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND FONG M.D. (PRESIDENT)
(212) 274-1900
Entity
Organization
Contact information
Practice address
109 LAFAYETTE ST, FL 4, NEW YORK, NY 10013-4138
(212) 274-1900
(212) 274-0738
Mailing address
109 LAFAYETTE ST, FL 4, NEW YORK, NY 10013-4138
(212) 274-1900
(212) 274-0738
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
150422-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01949366
—
NY
Enumeration date
06/15/2005
Last updated
11/09/2011
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