Healthcare Provider Details

I. General information

NPI: 1376458539
Provider Name (Legal Business Name): NYU DONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 MOSSIDE BLVD
MONROEVILLE PA
15146-2760
US

IV. Provider business mailing address

7005 AUGUSTA LN
JEANNETTE PA
15644-4797
US

V. Phone/Fax

Practice location:
  • Phone: 412-357-3000
  • Fax:
Mailing address:
  • Phone: 314-243-0850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2022001891
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: