Organization
JUN YANG KIDNEY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUN YANG MD (PRESIDENT)
(347) 296-5922
Entity
Organization
Contact information
Practice address
13443 MAPLE AVE STE C1D, FLUSHING, NY 11355-4527
(718) 886-7588
(646) 863-4210
Mailing address
14329 BARCLAY AVE APT 5D, FLUSHING, NY 11355-1978
(347) 296-5922
(646) 863-4210
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
257366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03239723
—
NY
Enumeration date
06/18/2012
Last updated
06/18/2012
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