Individual
DR. RODRIGO I KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-1008
(718) 226-1039
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
270338
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
191577
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03922763
—
NY
Enumeration date
06/29/2010
Last updated
12/28/2020
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