Individual
HONG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4235 MAIN ST STE 3C, FLUSHING, NY 11355-3969
(718) 673-2318
Mailing address
29 MAPLE RUN DR, JERICHO, NY 11753-2840
(636) 544-5727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01074728A
IN
207R00000X
Internal Medicine Physician
2011013276
MO
207RN0300X
Nephrology Physician
Primary
311574
NY
207RN0300X
Nephrology Physician
76167
MN
208M00000X
Hospitalist Physician
01074728A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01074728A
STATE LICENSE
IN
01
—
01074728B
CSR
IN
05
—
201275100
—
IN
Enumeration date
06/21/2011
Last updated
02/12/2025
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