Provider Demographics
NPI:1952670572
Name:ALLAN Y. JONG, M.D., P.C.
Entity Type:Organization
Organization Name:ALLAN Y. JONG, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:JONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-861-4861
Mailing Address - Street 1:35 E 85TH ST
Mailing Address - Street 2:3N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0954
Mailing Address - Country:US
Mailing Address - Phone:212-861-4861
Mailing Address - Fax:
Practice Address - Street 1:35 E 85TH ST
Practice Address - Street 2:3N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0954
Practice Address - Country:US
Practice Address - Phone:212-861-4861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089560-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY324381Medicare UPIN