Individual
YINI KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE # L5, NEWARK, NJ 07112-2027
(973) 926-7280
(973) 705-3148
Mailing address
1 2ND ST APT 1910, JERSEY CITY, NJ 07302-4907
(253) 230-9071
(973) 705-3148
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ14871300
NJ
363LP0200X
Pediatric Nurse Practitioner
382935
NY
Other
Enumeration date
11/02/2018
Last updated
10/15/2024
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