Healthcare Provider Details

I. General information

NPI: 1952747750
Provider Name (Legal Business Name): KRISTEN HONG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2013
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 NAGLE AVE
NEW YORK NY
10034-6001
US

IV. Provider business mailing address

264 W 118TH ST
NEW YORK NY
10026-1620
US

V. Phone/Fax

Practice location:
  • Phone: 844-692-4693
  • Fax: 212-544-2010
Mailing address:
  • Phone: 844-692-4692
  • Fax: 212-932-6551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number283317
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: