Provider Demographics
NPI:1205253952
Name:FONG, SARON (NP)
Entity type:Individual
Prefix:MRS
First Name:SARON
Middle Name:
Last Name:FONG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:126 NEW VERNON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:HOWELLS
Mailing Address - State:NY
Mailing Address - Zip Code:10932-9800
Mailing Address - Country:US
Mailing Address - Phone:845-500-6330
Mailing Address - Fax:845-386-9979
Practice Address - Street 1:280 ROUTE 211 E
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3109
Practice Address - Country:US
Practice Address - Phone:845-500-6330
Practice Address - Fax:845-386-9979
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402476363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health