Provider Demographics
NPI:1528345394
Name:YANG, ZHIGANG (DO)
Entity type:Individual
Prefix:DR
First Name:ZHIGANG
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9914 59TH AVE
Mailing Address - Street 2:APT 2G
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3866
Mailing Address - Country:US
Mailing Address - Phone:917-403-8795
Mailing Address - Fax:718-939-4167
Practice Address - Street 1:133-29 41RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-939-4166
Practice Address - Fax:718-939-4167
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY263307208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice