| By Medical Group | |
|
34 S Broadway Ste 114 White Plains NY 10601 | |
| (914) 422-5712 | |
| (914) 422-5714 |
| Full Name | By Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 34 S Broadway Ste 114, White Plains, New York |
| Authorized Official Name and Position | Byoung Woo Yang (PRESIDENT) |
| Authorized Official Contact | 9144225712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| By Medical Group 34 S Broadway Ste 114 White Plains NY 10601-4432 Ph: (914) 422-5712 | By Medical Group 34 S Broadway Ste 114 White Plains NY 10601 Ph: (914) 422-5712 |
| NPI Number | 1205372216 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 09/05/2018 |
| Medicare PECOS PAC ID | 9133497175 |
|---|---|
| Medicare Enrollment ID | O20170616000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205372216 | NPI | - | NPPES |
| 264837 | Other | NY | MEDICAL LICENSE |
| 03523080 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 264837 (New York) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 264837 (New York) | Secondary |
| Provider Name | Byoung Woo Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114017092 PECOS PAC ID: 2365517497 Enrollment ID: I20130802000643 |
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