MEDICARE: DR. DANNY FONG 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
1	2086S0122X	Plastic and Reconstructive Surgery Physician	171165	NY

General Provider Information

NPI Number	:	1073586327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANNY FONG MD

Provider Business Mailing Address
First Line	:	254 CANAL ST
Second Line	:	SUITE 5001
City	:	NEW YORK
State	:	NY
Zip	:	10013-3501
Country	:	US
Telephone Number	:	212-343-9009
Fax Number	:	212-431-4856

Provider Business Practice Location Address
First Line	:	254 CANAL ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-3501
Country	:	US
Telephone Number	:	212-343-9009
Fax Number	:	212-431-4856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	02/22/2017

Similar Medicare Providers

1053315614 — DR. MARCUS H LOO M.D.
Practice Location Address:

254 CANAL STREET , SUITE 3001
NEW YORK, NY
10013-3501

Practice Phone: 212-925-8388
Practice Fax: 212-941-7426

1346212081 — FANG CHANG MD
Practice Location Address:

254 CANAL ST
NEW YORK, NY
10013-3501

Practice Phone: 212-966-6888
Practice Fax: 212-966-6883

1952365736 — DR. HERBERT SHUO-CHIH CHIEN DPM
Practice Location Address:

254 CANAL ST , SUITE 2005
NEW YORK, NY
10013-3501

Practice Phone: 212-925-8805
Practice Fax: 212-925-8806

1427002773 — MR. RICHARD KOOS C.R.N.A.
Practice Location Address:

254 CANAL ST , RM 3005
NEW YORK, NY
10013-3501

Practice Phone: 212-941-8273
Practice Fax:

1427160985 — LINDA L TAO MD
Practice Location Address:

254 CANAL ST , SUITE 5003
NEW YORK, NY
10013-3501

Practice Phone: 212-966-9160
Practice Fax: 212-965-8953

1164533287 — DR. WINSTON C TOM M.D.
Practice Location Address:

254 CANAL ST RM 3005
NEW YORK, NY
10013-3501

Practice Phone: 212-941-8273
Practice Fax: 212-226-5029

Directions to “ DR. DANNY FONG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.