Healthcare Provider Details

I. General information

NPI: 1588198121
Provider Name (Legal Business Name): RONGHUA YANG MD/PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PL
BRONX NY
10461-2720
US

IV. Provider business mailing address

111 E 210TH ST
BRONX NY
10467-2401
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-5949
  • Fax:
Mailing address:
  • Phone: 718-920-7929
  • Fax: 718-547-2111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number305012
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: