Organization
DR. YAN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAORONG YAN (OWNER)
(646) 250-1085
Entity
Organization
Contact information
Practice address
13630 MAPLE AVE, SUITE 2-I, FLUSHING, NY 11355-3824
(646) 250-1085
Mailing address
13630 MAPLE AVE, SUITE 2-I, FLUSHING, NY 11335-3865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
280188
NY
Other
Enumeration date
09/19/2017
Last updated
10/04/2017
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