Organization
RAYMOND FONG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND FONG M.D. (PRESIDENT)
(718) 762-3790
Entity
Organization
Contact information
Practice address
13620 38TH AVE, SUITE 6H, FLUSHING, NY 11354-4277
(718) 762-3790
(718) 762-0138
Mailing address
13620 38TH AVE, SUITE 6H, FLUSHING, NY 11354-4277
(718) 762-3790
(718) 762-0138
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
150422
NY
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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