Individual
DAVID KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(866) 670-6824
Mailing address
5645 MAIN ST, 4TH FLOOR SOUTH, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016177
NY
Other
Enumeration date
11/29/2012
Last updated
12/15/2022
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