National Provider Identifier
Jerry Kong, DO
Jerry Kong, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 534-1750.
Profile Overview
- NPI
- 1720433345
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 02, 2016
- Last Updated
- July 03, 2023
Practice Location
- 919 Westfall RD Ste 100
- Rochester, NY 14618-2628
Phone: (585) 534-1750
Mailing Address
- 601 Elmwood Ave Box 278984
- Rochester, NY 14642-0001
Specialties
- Family Medicine Physician (207Q00000X)
Endpoints
- jkong212502@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1720433345
- Entity Type
- Individual
- Last Name
- Kong
- First Name
- Jerry
- Credential
- DO
- Mailing Street Address
- 601 Elmwood Ave Box 278984
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 919 Westfall RD Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2628
- Practice Country
- US
- Practice Phone
- (585) 534-1750
- Enumeration Date
- May 02, 2016
- Last Updated
- July 03, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)