person
Diana Hyejung Kong, NP
Pediatric Nurse Practitioner in Mineola, New York
NPI 1841285152

Diana Hyejung Kong is a Pediatric Nurse Practitioner based in Mineola, NY and is specialized in Pediatrics. Diana Hyejung Kong practices in Mineola, NY and has the professional credentials of NP. The NPI Number for Diana Hyejung Kong is 1841285152 and holds a License No. F381261 (New York).

The current practice location address for Diana Hyejung Kong is 120 Mineola Blvd, Mineola, NY and can be reached out via phone at 516-663-4600 and via fax at 516-663-3826.

Location: 120 Mineola Blvd, Mineola, NY, 11501-3800
person
Provider Profile Details
NPI Number
1841285152
Provider Name
Diana Hyejung Kong
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
120 Mineola Blvd, Mineola, NY, 11501-3800
Phone Number
516-663-4600
Fax Number
516-663-3826
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02160089 05 NY
institution
Provider Business Practice Location Address Details
Address
120 Mineola Blvd
City
State
Zip
11501-4064
Phone Number
516-663-4600
Fax Number
516-663-3826
person
Provider Business Mailing Address Details
Address
120 Mineola Blvd
City
State
Zip
11501-4064
Phone Number
516-663-4600
Fax Number
516-663-3826
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F381261 (New York)
Definition
Definition to come...
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