# BAY RIDGE FAMILY MEDICAL DOCTOR P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730342932
- **Authorized official:** NANCY S YANG MD (M.D)
- **Authorized official phone:** (718) 745-8686

## Contact information

- **Practice address:** 364 86TH ST, BROOKLYN, NY 11209-5002
- **Practice address phone:** (718) 845-8686
- **Practice address fax:** (718) 845-8688
- **Mailing address:** 415 LITTLE CLOVE RD, STATEN ISLAND, NY 10301-4126
- **Mailing address phone:** (718) 845-8686
- **Mailing address fax:** (718) 845-8688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 209272 | NY | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 01/31/2014