Raymond Fong Md, PC

NPI #1669456711 in New York, New York

Provider Information

NPI Number: 1669456711
Entity Type: Organization
Organization Name: Raymond Fong Md, PC
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 2, 2005
Last Updated: Apr 18, 2013

Practice Location

Address: 109 LAFAYETTE ST
Address 2: 4TH FLOOR
City: New York
State: New York
ZIP Code: 10013-4154
Phone: (212) 274-1900

Authorized Official

Name: DR. RAYMOND FONG, MD
Title: PRESIDENT
Phone: (212) 274-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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