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

Mr. Luis Gustavo Fong, MSED

Individual provider Specialist · NPI 1508155862

Mr. Luis Gustavo Fong, MSED is a Specialist in Corona, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

9834 Alstyne Ave Fl 2
Corona, NY 11368-2720
Phone: (917) 279-7644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1508155862
Entity typeIndividual (Type 1)
GenderMale
Credentials MSED
Sole proprietorNo
NPI enumeratedApril 7, 2011
Last updated in NPPESJuly 21, 2022

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