| NPI | 1770243685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG KANG HE Md 718-680-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |