Jason Szepok Kong D.O

NPI 1609069715 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1609069715
Gender Male
Enumeration Date 08/22/2007
Last Updated 12/16/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3901 MAIN ST
SUITE 309
FLUSHING NY, 11354-5432, US
Phone (718) 886-2906
Fax (718) 301-1775
Business Location
3901 MAIN ST
SUITE 309
FLUSHING NY, 11354-5432, US
Phone (718) 886-2906
Fax (718) 301-1775
Toxanomy
Taxonomy Code 208100000X
License State New York
License Number 246399
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According to our database, Dr. Jason Szepok Kong D.O NPI is 1609069715, taxonomy code is 208100000X and license number is 246399, license state is located at New York. Jason Szepok Kong D.O physically located at 3901 Main St, Flushing NY, 11354-5432. NPI Number Jason Szepok Kong D.O has the Individual type.

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1609069715 NPI number is provided on an as is basis without warranty of any kind. 1609069715 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Szepok Kong D.O are for informational purposes only.