Individual
MABEL GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
268 CANAL ST, NEW YORK, NY 10013-3599
(212) 966-0228
(212) 966-9330
Mailing address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-8866
(212) 226-2289
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
206434
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01887145
—
NY
Enumeration date
10/19/2005
Last updated
06/06/2019
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