Organization
NY INTEGRATIVE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUGUANG YANG MD (PRESIDENT)
(212) 925-8839
Entity
Organization
Contact information
Practice address
4809 8TH AVE, BROOKLYN, NY 11220-2213
(212) 925-8839
Mailing address
4809 8TH AVE, BROOKLYN, NY 11220-2213
(212) 925-8839
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
204326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149219
WELLCARE
NY
Enumeration date
12/31/2007
Last updated
12/31/2007
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