Individual
CHAURONG LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3519 161ST ST, FLUSHING, NY 11358-1606
(718) 939-9792
Mailing address
3519 161ST ST, FLUSHING, NY 11358-1606
(718) 939-9792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167699
NY
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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