Provider Demographics
NPI:1952937427
Name:YANG, LI QIONG (LMT)
Entity Type:Individual
Prefix:
First Name:LI QIONG
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:150 BROADWAY RM 1115
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4375
Mailing Address - Country:US
Mailing Address - Phone:212-962-2262
Mailing Address - Fax:646-607-4412
Practice Address - Street 1:150 BROADWAY RM 1115
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4375
Practice Address - Country:US
Practice Address - Phone:212-962-2262
Practice Address - Fax:646-607-4412
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist