National Provider Identifier

Raissa Madeleine Ong, M.D.

Raissa Madeleine Ong, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Newark, NY and a listed phone number of (315) 359-2621.

NPI 1528370400Newark, NYPediatrics Physician

Profile Overview

NPI
1528370400
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
July 08, 2010
Last Updated
January 12, 2023

Practice Location

  • 1200 Driving Park Ave
  • Newark, NY 14513-1090

Phone: (315) 359-2621

Mailing Address

  • 1023 East Pebbleview Dr
  • Victor, NY 14564-9250

Specialties

  • Pediatrics Physician (208000000X)

Endpoints

  • raissa.ong@rochesterregional.org

    Direct Messaging Address | Newark, NY 14513

Full Record
NPI
1528370400
Entity Type
Individual
Last Name
Ong
First Name
Raissa Madeleine
Credential
M.D.
Mailing Street Address
1023 East Pebbleview Dr
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9250
Mailing Country
US
Mailing Phone
(551) 221-5514
Practice Street Address
1200 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1090
Practice Country
US
Practice Phone
(315) 359-2621
Enumeration Date
July 08, 2010
Last Updated
January 12, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 12, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)