Healthcare Provider Details

I. General information

NPI: 1750453627
Provider Name (Legal Business Name): QINGHONG YANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 MONROE AVE
PITTSFORD NY
14534-1311
US

IV. Provider business mailing address

61 MONROE AVE
PITTSFORD NY
14534-1311
US

V. Phone/Fax

Practice location:
  • Phone: 585-586-5632
  • Fax:
Mailing address:
  • Phone: 585-586-5632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number49502
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number49502
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number49502
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: