Organization
EVERGREEN MEDICAL CLINIC P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YONGKANG HE M.D (INTERNAL MEDICINE)
(212) 966-8216
Entity
Organization
Contact information
Practice address
77 BOWERY FL 3F, NEW YORK, NY 10002-4955
(212) 966-8216
(212) 966-8217
Mailing address
351 WALNUT ST, LIVINGSTON, NJ 07039-5011
(212) 966-8216
(212) 966-8217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
214116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023389
—
NJ
Enumeration date
08/03/2009
Last updated
11/22/2021
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