Individual
DR. SUSAN KIM FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 WILLIAM ST FL 1, NEW YORK, NY 10038-2612
(646) 962-2620
Mailing address
170 WILLIAM ST FL 1, NEW YORK, NY 10038-2612
(646) 962-2620
(646) 962-5292
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
229455
NY
207VM0101X
Maternal & Fetal Medicine Physician
A96871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A96871
STATE LICENCE
CA
Enumeration date
08/25/2006
Last updated
07/09/2020
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