ALEXANDER PONG

WEST ISLIP, NY
NPI1982346854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-11
Last Update Date2022-04-11
Business Address
ALEXANDER PONG DO
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4163
Mailing Address
ALEXANDER PONG DO
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4163
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