Daisy Fong
NPI #1033431747 in Mohegan Lake, New York
Provider Information
- NPI Number
- 1033431747
- Entity Type
- Individual
- Name
- Daisy Fong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Feb 22, 2010
- Last Updated
- Feb 22, 2010
Practice Location
- Address
- 3133 E MAIN ST
- City
- Mohegan Lake
- State
- New York
- ZIP Code
- 10547-1521
- Phone
- (914) 526-1105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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