Individual
MS. JIYOUNG JEONG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
15814 NORTHERN BLVD STE UL3, FLUSHING, NY 11358-1600
(917) 633-7713
(917) 633-7713
Mailing address
20 HILLSIDE LN, SYOSSET, NY 11791-4111
(917) 940-0302
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F308815-1
NY
Other
Enumeration date
09/17/2018
Last updated
03/12/2025
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