Healthcare Provider Details

I. General information

NPI: 1538076641
Provider Name (Legal Business Name): RUOZHU YANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 DUBOIS STREET ST. LUKE'S CORNWALL HOSPITAL
NEWBURGH NY
12550
US

IV. Provider business mailing address

2491 PURDUE AVE APT 208
LOS ANGELES CA
90064
US

V. Phone/Fax

Practice location:
  • Phone: 734-882-7650
  • Fax:
Mailing address:
  • Phone: 734-882-7650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: