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Individual

ERIC KONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
425 E 25TH ST, NEW YORK, NY 10010-2547
(212) 772-4000
Mailing address
425 E 25TH ST, NEW YORK, NY 10010-2547

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312040
NY

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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