Individual
DR. CONNIE DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
25 W 43RD ST, SUITE 316, NEW YORK, NY 10036-7406
(646) 875-8828
(212) 320-0368
Mailing address
595 W 239TH ST, APT B3, BRONX, NY 10463-1291
(646) 875-8828
(212) 320-0368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2341237
AETNA
NY
01
—
NY5312
EYEMED VISION CARE
NY
Enumeration date
11/29/2006
Last updated
02/12/2013
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