Provider Demographics
NPI:1497245831
Name:ONG, STANLEY Q (RPT/DPT)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:Q
Last Name:ONG
Suffix:
Gender:M
Credentials:RPT/DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107-16 122ND STREET
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2818
Mailing Address - Country:US
Mailing Address - Phone:347-786-1348
Mailing Address - Fax:
Practice Address - Street 1:12316 135TH AVE FL SOUTH
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-3233
Practice Address - Country:US
Practice Address - Phone:347-786-1348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-10
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039139225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist