JONATHAN PAINE FONG

MIDDLETOWN, NY
NPI1932551900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  305585-01)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-07-01
Last Update Date2022-02-03
Business Address
Dr. JONATHAN PAINE FONG DO
707 E MAIN ST
MIDDLETOWN, NY 10940-2650
Phone number: 845-333-1000
Mailing Address
Dr. JONATHAN PAINE FONG DO
707 E MAIN ST
MIDDLETOWN, NY 10940-2650
Phone number: