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NPI Code Detail

MEDICARE: MRS. SARON FONG NP

MEDICARE:  MRS. SARON  FONG  NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR264352MD
2363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ15524400NJ
3363LP0808XPsychiatric/Mental Health Nurse Practitioner1187727TX
4363LP0808XPsychiatric/Mental Health Nurse Practitioner402476NY

General Provider Information

NPI Number : 1205253952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARON FONG NP
Provider Business Mailing Address
First Line : 126 NEW VERNON RD STE 1
Second Line :
City : HOWELLS
State : NY
Zip : 10932-9800
Country : US
Telephone Number : 845-500-6330
Fax Number : 845-386-9979
Provider Business Practice Location Address
First Line : 280 ROUTE 211 E
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-3109
Country : US
Telephone Number : 845-500-6330
Fax Number : 845-386-9979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2014
Last Update Date : 06/01/2026

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