FRED GONG

STONY BROOK, NY
NPI1215635826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-02-22
Last Update Date2023-02-22
Business Address
FRED GONG
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-638-2698
Mailing Address
FRED GONG
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-638-2698