Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 171165 | NY |
NPI | 1073586327 |
---|---|
Provider Name | Dr. Danny Fong |
First Address | New York, NY 10013-3501 |
Second Address | New York, NY 10013-3501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 22/02/2017 |