Healthcare Provider Details

I. General information

NPI: 1033123872
Provider Name (Legal Business Name): MINH-NHUT YVONNE DANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 3RD AVE
BROOKLYN NY
11220-5203
US

IV. Provider business mailing address

6700 3RD AVE
BROOKLYN NY
11220-5203
US

V. Phone/Fax

Practice location:
  • Phone: 917-423-7011
  • Fax: 917-423-7073
Mailing address:
  • Phone: 646-831-7983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number230314
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number230314
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number35982
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: