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DR. BRADLEY TAYLOR FONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 GUSTAVE L LEVY PL FL 8, NEW YORK, NY 10029-6504
(212) 241-6426
(212) 876-3906
Mailing address
PO BOX 5024, NEW YORK, NY 10087-5024
(800) 627-4470
(412) 937-5710

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
312421
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2017
Last updated
10/22/2021
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