Individual
DEREK STEPHEN CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
90-01 QUEENS BLVD, 3RD FLOOR, MACYS VISION EXPRESS, ELMHURST, NY 11373
(718) 595-2266
Mailing address
18015 64TH AVE, FRESH MEADOWS, NY 11365-2101
(209) 402-7301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006982-1
NY
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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