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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