Basic Information
| Provider Information | |||||||||
| NPI: | 1528345394 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YANG | ||||||||
| FirstName: | ZHIGANG | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9914 59TH AVE | ||||||||
| Address2: | APT 2G | ||||||||
| City: | CORONA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113683866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9174038795 | ||||||||
| FaxNumber: | 7189394167 | ||||||||
| Practice Location | |||||||||
| Address1: | 133-29 41RD | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189394166 | ||||||||
| FaxNumber: | 7189394167 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2011 | ||||||||
| LastUpdateDate: | 11/09/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 263307 | NY | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.