Individual
DR. RAYMOND FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 LAFAYETTE ST, 4TH FLOOR, NEW YORK, NY 10013-4138
(212) 274-1900
(212) 274-0738
Mailing address
109 LAFAYETTE ST, FL 4, NEW YORK, NY 10013-4138
(212) 274-1900
(212) 274-0738
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
150422
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00876848
—
NY
Enumeration date
06/01/2005
Last updated
05/21/2008
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