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Individual

CLARENCE KONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(516) 562-0100
Mailing address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(646) 463-0258

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101281857
VA
207P00000X
Emergency Medicine Physician
Primary
334926
NY

Other

Enumeration date
03/23/2021
Last updated
03/06/2026
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