Individual
GARY TONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32-31 43RD ST, ASTORIA, NY 11103-2703
(917) 310-4558
Mailing address
3231 43RD ST, ASTORIA, NY 11103-2703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057395
NY
1223G0001X
General Practice Dentistry
63754
CA
Other
Enumeration date
08/02/2014
Last updated
11/17/2014
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