Kong, Diana Hyejung

Kong, Diana Hyejung is an individual health care provider with primary practice located at 120 Mineola Blvd Suite 210, Mineola NY 11501-4064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kong, Diana Hyejung can be contacted via phone (516) 663-4600.

Contact Information

Primary practice address
120 Mineola Blvd Suite 210 Mineola NY 11501-4064
Phone: (516) 663-4600
Fax: (516) 663-3826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381261 New York

Profile Details

NPI number 1841285152
LBN Legal business name Kong, Diana Hyejung
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Feb 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841285152 NPPES
New York MEDICAID 02160089

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