9679 BREWERTON RD, BREWERTON, 13029-8738, NEW YORK
| Entity Name | RAYMOND FONG, M.D., P.C. |
| Entity Number | 1097906 |
| Status | ACTIVE |
| Incorporation Date | 16th July 1986 |
| Dos Process Address | 109 LAFAYETTE STREET, NEW YORK, 10013, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |