Provider Demographics
NPI:1194959742
Name:TONG, HARRY H (RPH)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:H
Last Name:TONG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WATERS PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2701
Mailing Address - Country:US
Mailing Address - Phone:718-239-3797
Mailing Address - Fax:718-239-3799
Practice Address - Street 1:1000 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2701
Practice Address - Country:US
Practice Address - Phone:718-239-3797
Practice Address - Fax:718-239-3799
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist