Individual
GUORONG DAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
825 57TH STREET, SUITE 208 2ND FLOOR REAR, BROOKLYN, NY 11220-3674
(646) 750-2090
(718) 928-7438
Mailing address
4028 COLLEGE POINT BOULEVARD, PH 110, FLUSHING, NY 11354-7997
(646) 750-2090
(718) 928-7438
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
240459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02771204
—
NY
05
—
03185820
—
NY
Enumeration date
07/10/2006
Last updated
05/28/2015
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