# FOUR SEASON MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447785316
- **Authorized official:** DR. YONG KANG HE M.D (M.D)
- **Authorized official phone:** (718) 680-8881

## Contact information

- **Practice address:** 2041 86TH ST, BROOKLYN, NY 11214-3203
- **Practice address phone:** (718) 680-8881
- **Practice address fax:** (718) 680-7880
- **Mailing address:** 837 59TH ST, BROOKLYN, NY 11220-3611
- **Mailing address phone:** (718) 680-8881
- **Mailing address fax:** (718) 680-7880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | 214116 | NY | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/27/2017
- **Last updated:** 04/04/2022