Individual
TIMOTHY JAMES CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2065
(631) 444-2493
Mailing address
101 NICOLLS ROAD HSC T16-020, STONY BROOK, NY 11794-8160
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
320620
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD-21740
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/27/2018
Last updated
09/08/2023
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