# EVERGREEN MEDICAL CLINIC P.C

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

## Provider details

- **NPI number:** 1518198944
- **Authorized official:** MR. YONGKANG HE M.D (INTERNAL MEDICINE)
- **Authorized official phone:** (212) 966-8216

## Contact information

- **Practice address:** 77 BOWERY FL 3F, NEW YORK, NY 10002-4955
- **Practice address phone:** (212) 966-8216
- **Practice address fax:** (212) 966-8217
- **Mailing address:** 351 WALNUT ST, LIVINGSTON, NJ 07039-5011
- **Mailing address phone:** (212) 966-8216
- **Mailing address fax:** (212) 966-8217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 214116 | NY | Yes |

## Other

- **Enumeration date:** 08/03/2009
- **Last updated:** 11/22/2021