Individual
ALAN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
134 N 4TH ST, BROOKLYN, NY 11249-3296
(646) 450-7748
Mailing address
134 N 4TH ST, BROOKLYN, NY 11249-3296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087735
NY
Other
Enumeration date
10/04/2014
Last updated
02/25/2021
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