Provider Demographics
NPI:1003077991
Name:HONG, ALICE E (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:E
Last Name:HONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E 24TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2910
Mailing Address - Country:US
Mailing Address - Phone:917-716-3215
Mailing Address - Fax:
Practice Address - Street 1:310 EAST 14TH STREET 2ND FL SOUTH BLDG
Practice Address - Street 2:OPHTHALMIC CONSULTANTS PC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4201
Practice Address - Country:US
Practice Address - Phone:212-505-6550
Practice Address - Fax:212-979-1772
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254711207W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400086716Medicare PIN