Kong, Rodrigo I

Kong, Rodrigo I is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kong, Rodrigo I can be contacted via phone (718) 226-1008.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (718) 226-1008
Fax: (718) 226-1039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 191577 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 270338 New York

Profile Details

NPI number 1346551975
LBN Legal business name Kong, Rodrigo I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Dec 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346551975 NPPES
New York MEDICAID 03922763

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