Individual
JENNIFER SONG FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3415 BAINBRIDGE AVE, CHILDRENS HOSPITAL OF MONTEFIORE, BRONX, NY 10467
(718) 741-2100
Mailing address
18 SUNSET DR, WHITE PLAINS, NY 10604-2311
(914) 288-8058
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381662
NY
Other
Enumeration date
06/27/2007
Last updated
04/05/2019
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