Healthcare Provider Details

I. General information

NPI: 1841926359
Provider Name (Legal Business Name): HONOUR YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 VARICK ST
NEW YORK NY
10014-4810
US

IV. Provider business mailing address

200 VARICK ST RM 900
NEW YORK NY
10014-4893
US

V. Phone/Fax

Practice location:
  • Phone: 212-620-0340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number834199
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: