Individual
BORA YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
560 FIRST AVENUE, TISCH 5, ELECTROPHYSIOLOGY LAB, NEW YORK, NY 10016
(212) 263-5555
Mailing address
336 WINDHAM LOOP, STATEN ISLAND, NY 10314
(718) 541-1865
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016682
NY
Other
Enumeration date
07/16/2013
Last updated
04/27/2017
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