Individual
DR. YI JIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
70 W 36TH ST # 5C, NEW YORK, NY 10018-8007
(917) 338-7680
(917) 338-6382
Mailing address
70 W 36TH ST UNIT 5C, NEW YORK, NY 10018-8007
(917) 338-7680
(917) 338-6382
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101269644
VA
207RG0100X
Gastroenterology Physician
Primary
296750
NY
207RG0100X
Gastroenterology Physician
MD463601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05663570
—
NY
05
—
372428801
—
TX
Enumeration date
05/18/2012
Last updated
08/26/2022
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