Organization
FOUR SEASON MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG KANG HE M.D (M.D)
(718) 680-8881
Entity
Organization
Contact information
Practice address
2041 86TH ST, BROOKLYN, NY 11214-3203
(718) 680-8881
(718) 680-7880
Mailing address
837 59TH ST, BROOKLYN, NY 11220-3611
(718) 680-8881
(718) 680-7880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
214116
NY
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/27/2017
Last updated
04/04/2022
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