Individual provider · Type 1 NPI

Jennifer Song Fong, NP

Pediatric Nurse Practitioner · Bronx, NY

NPI number 1912104522 Active

Practice location

3415 Bainbridge Ave, Childrens Hospital Of Montefiore
Bronx, NY 10467

Mailing address

18 Sunset Dr
White Plains, NY 10604-2311

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X381662 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1912104522

Jennifer Song Fong, NP's National Provider Identifier is 1912104522, issued on Jun 27, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bronx, NY. The record was last updated on Apr 5, 2019.