Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred Gong

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215635826

Fred Gong is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 638-2698
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1215635826
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2023
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

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