Individual
JASON YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-5730
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
309720
NY
Other
Enumeration date
04/10/2017
Last updated
02/14/2022
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