Provider Demographics
NPI:1780051342
Name:CARYN TONG DDS PLLC
Entity type:Organization
Organization Name:CARYN TONG DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-446-5775
Mailing Address - Street 1:4036 82ND ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1369
Mailing Address - Country:US
Mailing Address - Phone:718-446-5775
Mailing Address - Fax:718-446-1219
Practice Address - Street 1:4036 82ND ST
Practice Address - Street 2:SUITE 5
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1369
Practice Address - Country:US
Practice Address - Phone:718-446-5775
Practice Address - Fax:718-446-1219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-29
Last Update Date:2015-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0531911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty