Provider Demographics
NPI:1972693398
Name:TONG, MAN YEE LINDA (MD)
Entity type:Individual
Prefix:
First Name:MAN YEE
Middle Name:LINDA
Last Name:TONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4242 COLDEN ST APT L15
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4855
Mailing Address - Country:US
Mailing Address - Phone:718-886-8816
Mailing Address - Fax:718-886-1250
Practice Address - Street 1:4242 COLDEN ST APT L15
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4855
Practice Address - Country:US
Practice Address - Phone:718-886-8816
Practice Address - Fax:718-886-1250
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198420261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG13331Medicare UPIN