Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 254711 | NY |
NPI | 1003077991 |
---|---|
Provider Name | Dr. Alice E Hong |
First Address | New York, NY 10010-2910 |
Second Address | New York, NY 10003-4201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 12/08/2013 |