Individual
RAISSA MADELEINE ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(315) 359-2621
Mailing address
1023 EAST PEBBLEVIEW DR, VICTOR, NY 14564-9250
(551) 221-5514
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
271606
NY
Other
Enumeration date
07/08/2010
Last updated
01/12/2023
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