CLARENCE KONG

WEST ISLIP, NY
NPI1548846140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  334926)
Additional Taxonomies208VP0000X 
(Licence: NY  334926)
Enumeration Date2021-03-23
Last Update Date2026-07-06
Business Address
CLARENCE KONG
380 MONTAUK HWY
WEST ISLIP, NY 11795-4403
Phone number: 631-422-5371
Mailing Address
CLARENCE KONG
380 MONTAUK HWY
WEST ISLIP, NY 11795-4403
Phone number: 631-422-5371
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