Provider Demographics
NPI:1467758300
Name:ANTHONY FOONG M.D.PC
Entity Type:Organization
Organization Name:ANTHONY FOONG M.D.PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-693-2100
Mailing Address - Street 1:210 CANAL ST
Mailing Address - Street 2:SUITE 601
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4155
Mailing Address - Country:US
Mailing Address - Phone:212-693-2100
Mailing Address - Fax:212-349-0581
Practice Address - Street 1:210 CANAL ST
Practice Address - Street 2:SUITE 601
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4155
Practice Address - Country:US
Practice Address - Phone:212-693-2100
Practice Address - Fax:212-349-0581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160735261QE0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00979406Medicaid
B19420Medicare UPIN
NY00979406Medicaid