Individual
JIAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 LAKEVILLE RD STE M42, NORTH NEW HYDE PARK, NY 11042-1117
(516) 734-8500
Mailing address
450 LAKEVILLE RD STE M42, NORTH NEW HYDE PARK, NY 11042-1117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
325636
NY
208800000X
Urology Physician
Primary
325636
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
04/08/2026
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