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NPI Code Detail

MEDICARE: DR. MENG MAXINE TONG MD

MEDICARE: DR. MENG MAXINE TONG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician339285NY
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1730838913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MENG MAXINE TONG MD
Provider Business Mailing Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-6097
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-6097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 06/01/2026

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