Provider Demographics
NPI:1881442655
Name:NYONG, BERTRAND NYAM II
Entity type:Individual
Prefix:
First Name:BERTRAND
Middle Name:NYAM
Last Name:NYONG
Suffix:II
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:BERTRAND
Other - Middle Name:NYAM
Other - Last Name:NYONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BERTRAND NYAM NYONG
Mailing Address - Street 1:502 KENNEDY ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3136
Mailing Address - Country:US
Mailing Address - Phone:202-313-7283
Mailing Address - Fax:202-516-4995
Practice Address - Street 1:502 KENNEDY ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3136
Practice Address - Country:US
Practice Address - Phone:202-313-7283
Practice Address - Fax:202-516-4995
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator