MEDICARE: MINH-NHUT YVONNE DANG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	230314	NY
2	2085R0204X	Vascular & Interventional Radiology Physician	230314	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033123872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINH-NHUT YVONNE DANG M.D.

Provider Business Mailing Address
First Line	:	6700 3RD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5203
Country	:	US
Telephone Number	:	646-831-7983
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 3RD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5203
Country	:	US
Telephone Number	:	917-423-7011
Fax Number	:	917-423-7073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	03/02/2020

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