Individual
STEPHANIE KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
222 STATION PLAZA NORTH, SUITE 509, MINEOLA, NY 11501
(516) 663-2381
Mailing address
222 STATION PLZ N STE 509, MINEOLA, NY 11501-3893
(516) 663-2381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
316558
NY
208M00000X
Hospitalist Physician
Primary
316558
NY
Other
Enumeration date
04/05/2019
Last updated
11/04/2022
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