Fong, Susan Kim
Fong, Susan Kim is an individual health care provider with primary practice located at 170 William St Fl 1 , New York NY 10038-2612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Fong, Susan Kim can be contacted via phone (646) 962-2620.Contact Information
Primary practice address
170 William St Fl 1
New York NY 10038-2612
Phone: (646) 962-2620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | A96871 | California |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 229455 | New York |
Profile Details
| NPI number | 1487761235 |
|---|---|
| LBN Legal business name | Fong, Susan Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 9th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487761235 | NPPES |
| California | Other | A96871 | STATE LICENCE |
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