Individual
LONG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 RANDALL SQ, PROVIDENCE, RI 02904-2709
(401) 274-6339
(401) 453-6290
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 780-2511
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN03761
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
RI
Other
Enumeration date
01/25/2022
Last updated
09/11/2023
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