JASON SZEPOK KONG DO PC
Ambulatory Health at Main St, Flushing, NY

License number
New York 246399
Category
Ambulatory Health
Type
Rehabilitation
Owner
Name: DR. JASON SZEPOK KONG D.O
Title: PRESIDENT
Phone: (718) 551-1401
Address
Address
3901 Main St, Flushing, NY 11354
National Provider ID: 1114182219
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JASON SZEPOK KONG, D.O., PC

Flushing, NY

Registration:
Jun 27, 2008
Addresses:
39-07 Prince St SUITE 4G, Flushing, NY 11354 (Physical)
3907 Prince St SUITE 4G, Flushing, NY 11354 (Physical)
State ID:
3690301
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Jason S Kong, 39-07 Prince St SUITE 4G, Flushing, NY 11354 (Physical)

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