Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Medical Clinic PC

Organization Internal Medicine Physician · NPI 1518198944

Evergreen Medical Clinic PC is an Internal Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Bowery Fl 3F
New York, NY 10002-4955
Phone: (212) 966-8216
Fax: (212) 966-8217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 214116 (NY)

Record details

NPI number1518198944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yongkang He — Internal Medicine · (212) 966-8216
NPI enumeratedAugust 3, 2009
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021
Mailing address351 Walnut St, Livingston, NJ 07039-5011

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