Provider Demographics
NPI:1033123872
Name:DANG, MINH-NHUT YVONNE (MD)
Entity Type:Individual
Prefix:
First Name:MINH-NHUT
Middle Name:YVONNE
Last Name:DANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5203
Mailing Address - Country:US
Mailing Address - Phone:646-831-7983
Mailing Address - Fax:
Practice Address - Street 1:6700 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5203
Practice Address - Country:US
Practice Address - Phone:917-423-7011
Practice Address - Fax:917-423-7073
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2303142085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02497107Medicaid
NY653U01Medicare PIN
NYI00691Medicare UPIN
NY653U01Medicare ID - Type Unspecified