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Individual

STEPHEN DONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8002 KEW GARDENS RD, SUITE C-108, KEW GARDENS, NY 11415-3600
(718) 544-2222
Mailing address
8002 KEW GARDENS RD, SUITE C-108, KEW GARDENS, NY 11415-3600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003633-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01158570
NY
Enumeration date
02/06/2006
Last updated
05/30/2008
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