Provider Demographics
NPI:1598091266
Name:YANG, YUQIANG (LAC)
Entity Type:Individual
Prefix:
First Name:YUQIANG
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6326 BOURTON ST
Mailing Address - Street 2:2B
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2819
Mailing Address - Country:US
Mailing Address - Phone:917-723-6835
Mailing Address - Fax:
Practice Address - Street 1:14345 SANFORD AVE
Practice Address - Street 2:L2
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2050
Practice Address - Country:US
Practice Address - Phone:917-723-6835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003112171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist