Individual
FRANK FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21818 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2125
(718) 470-2277
Mailing address
21818 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2125
(718) 470-2277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008469
NY
152WC0802X
Corneal and Contact Management Optometrist
008469
NY
Other
Enumeration date
07/01/2016
Last updated
05/06/2022
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