Organization
RAYMOND FONG MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND FONG M.D. (PRESIDENT)
(212) 274-1900
Entity
Organization
Contact information
Practice address
859 60TH ST, SUITE CM1B, BROOKLYN, NY 11220-4352
(718) 436-8850
(718) 436-8857
Mailing address
13620 38TH AVE, SUITE 6H, FLUSHING, NY 11354-4277
(718) 762-3790
(718) 762-0138
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
150422
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01949366
—
NY
Enumeration date
04/25/2007
Last updated
05/02/2012
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