Dong, Stephen

Dong, Stephen is an sole proprietor health care provider with primary practice located at 8002 Kew Gardens Rd Suite C-108, Kew Gardens NY 11415-3600. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dong, Stephen can be contacted via phone (718) 544-2222.

Contact Information

Primary practice address
8002 Kew Gardens Rd Suite C-108 Kew Gardens NY 11415-3600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV003633-1 New York

Profile Details

NPI number 1124090071
LBN Legal business name Dong, Stephen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated May 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124090071 NPPES
New York MEDICAID 01158570

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