Individual
MR. EDWARD ROK KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3912 BELL BLVD, BAYSIDE, NY 11361-2061
(718) 281-2020
(718) 281-2355
Mailing address
3912 BELL BLVD, BAYSIDE, NY 11361-2061
(718) 281-2020
(718) 281-2355
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
8043-1
NY
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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