YINI KONG
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1538637038- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 201 LYONS AVE # L5, NEWARK, NJ, 071122027
- Phone
- (973) 926-7280
- Fax
- (973) 705-3148
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
License: NY #382935
Nurse Practitioner, Pediatrics
Primary License: NJ #26NJ14871300