MEDICARE: DR. YAK-SING ONG 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	207V00000X	Obstetrics & Gynecology Physician	1177251	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080215000048	OTHER	NY	FIDELIS CARE
2	0088968	OTHER	NY	GHI
3	2778306	OTHER	NY	1199 NATIONAL BENEFIT

General Provider Information

NPI Number	:	1326015561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YAK-SING ONG MD

Provider Business Mailing Address
First Line	:	136 WHITMAN DR
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6729
Country	:	US
Telephone Number	:	718-859-5456
Fax Number	:	718-942-4226

Provider Business Practice Location Address
First Line	:	2419 GLENWOOD RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-1147
Country	:	US
Telephone Number	:	718-859-5456
Fax Number	:	718-942-4226

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	03/04/2011

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