Individual
CHRISTINA HELENE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE FL HOWARD14, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE FL HOWARD14, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
300254
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
300254
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
07/10/2023
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