Provider Demographics
NPI:1154322493
Name:ONG, LING S (MD)
Entity Type:Individual
Prefix:
First Name:LING
Middle Name:S
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1870 WINTON RD S
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3960
Mailing Address - Country:US
Mailing Address - Phone:585-442-4690
Mailing Address - Fax:585-442-4692
Practice Address - Street 1:1870 WINTON RD S
Practice Address - Street 2:SUITE 1
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3960
Practice Address - Country:US
Practice Address - Phone:585-442-4690
Practice Address - Fax:585-442-4692
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2010-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY115302207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY115302-2OtherWORKERS COMPENSATION
NY00487105Medicaid
NY010115302OtherBLUE CHOICE PROV ID
NY2911OtherEXCELLUS BSH PROV ID
NYMDE486OtherPREFERRED CARE PROV ID
NY5809328OtherAETNA PROVIDER ID#
NY060056872OtherRAILROAD MEDICARE PROV ID
NY060056872OtherRAILROAD MEDICARE PROV ID
NY00487105Medicaid