Individual
DR. JI CAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-7830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267858
NY
207RC0000X
Cardiovascular Disease Physician
Primary
267858
NY
Other
Enumeration date
03/30/2011
Last updated
07/10/2020
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