Fong, Luis Gustavo

Fong, Luis Gustavo is an individual health care provider with primary practice located at 9834 Alstyne Ave Floor 2, Corona NY 11368-2720. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fong, Luis Gustavo can be contacted via phone (917) 279-7644.

Contact Information

Primary practice address
9834 Alstyne Ave Floor 2 Corona NY 11368-2720
Phone: (917) 279-7644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1508155862
LBN Legal business name Fong, Luis Gustavo
Credentials MSED
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Jul 21st, 2022 - about 2 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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