Provider Demographics
NPI:1013523745
Name:HU, YANGYANG (CNP)
Entity Type:Individual
Prefix:
First Name:YANGYANG
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13107 40TH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5116
Mailing Address - Country:US
Mailing Address - Phone:718-888-9183
Mailing Address - Fax:718-888-1751
Practice Address - Street 1:13107 40TH RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5116
Practice Address - Country:US
Practice Address - Phone:718-888-9183
Practice Address - Fax:718-888-1751
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025695363LA2200X, 363LG0600X
NYF310144363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology