Individual
JENNIFER YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5645 MAIN ST DEPT OF, FLUSHING, NY 11355-5045
(929) 626-0054
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(516) 945-3156
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
645419
NY
Other
Enumeration date
09/18/2015
Last updated
12/09/2024
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