Individual
NUO YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
77 GOODELL ST, SUITE 550A, BUFFALO, NY 14203-1243
(716) 829-6104
Mailing address
130 ALLENS CREEK RD STE 200, ROCHESTER, NY 14618-3305
(585) 410-6545
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01092469A
IN
207L00000X
Anesthesiology Physician
Primary
315078
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103821103
ANTHEM PTAN
IN
05
—
300086242
—
IN
Enumeration date
05/05/2017
Last updated
11/21/2024
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