MEDICARE: MASON CHONG

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	101YM0800X	Mental Health Counselor	P134352	NY

General Provider Information

NPI Number	:	1962934521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MASON CHONG

Provider Business Mailing Address
First Line	:	9930 59TH AVE APT 3J
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11368-3811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13107 40TH RD FL 5
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5116
Country	:	US
Telephone Number	:	718-661-3000
Fax Number	:

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

Provider Enumeration Date	:	03/31/2017
Last Update Date	:	03/31/2026

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Directions to “ MASON CHONG ” Practice Location

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