Individual
SENGHAO FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 W JOHN ST, LINDENHURST, NY 11757-3759
(631) 226-2230
(631) 226-3024
Mailing address
20 W JOHN ST, LINDENHURST, NY 11757-3759
(631) 226-2230
(631) 226-3024
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
114256
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PTAN
NY
Enumeration date
03/09/2006
Last updated
01/28/2013
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