Individual
JIAN YI YAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. ACUPUNCTURIST
Contact information
Practice address
230 W 79TH ST, #14N, NEW YORK, NY 10024-6246
(212) 769-9359
Mailing address
230 W 79TH ST, #14N, NEW YORK, NY 10024-6246
(212) 769-9359
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002795
ACUPUNCTURE LICENSE
NY
Enumeration date
02/22/2008
Last updated
02/22/2008
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