MR. LUIS GUSTAVO FONG MSED
NPI 1508155862
Specialist in Corona, NY
About Mr. Luis Gustavo Fong Msed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LUIS GUSTAVO FONG MSED (NPI 1508155862) is an individual specialist in Corona, New York and active in the NPI registry since April 2011.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Luis Fong's NPI number?
The NPI number for Luis Fong is 1508155862. It was assigned to this individual provider in the NPPES registry on April 7, 2011.
Where is Luis Fong located?
Luis Fong practices at 9834 Alstyne Ave Floor 2, Corona, NY 11368. The listed phone number is (917) 279-7644.
What is Luis Fong's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
When was this NPI record last updated?
The NPPES record for Luis Fong was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Luis Gustavo Fong, MSED · NPI 1508155862
Specialist provider in Corona, New York. Individual provider, active in the CMS NPPES registry since April 7, 2011.
## Identity
- **NPI:** 1508155862 (Entity type: Individual)
- **Enumerated:** April 7, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Sole proprietor:** No
## Practice location
- **Address:** 9834 ALSTYNE AVE, FLOOR 2, Corona, NY 11368-2720
- **Phone:** (917) 279-7644
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508155862) · Data from the CMS NPPES public registry.