Organization
RAYMOND FONG MD, PC
Active
Organization
RAYMOND FONG MD, PC
Active
Other names
New York Eye Center Optical Dispensary
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND FONG MD (PRESIDENT)
(212) 274-1900
Entity
Organization
Contact information
Practice address
109 LAFAYETTE ST, 4TH FLOOR, NEW YORK, NY 10013-4154
(212) 274-1900
(212) 274-0738
Mailing address
13620 38TH AVE, SUITE 6H, FLUSHING, NY 11354-4277
(718) 762-3790
(718) 762-0138
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
150422
NY
Other
Enumeration date
12/02/2005
Last updated
04/18/2013
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