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Individual

DAVID TUNG OUYANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4038 WEST RD, CORTLAND, NY 13045-1842
(607) 758-3008
(607) 758-3019
Mailing address
85 S WEST ST, HOMER, NY 13077-1542
(607) 753-3797

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
199497
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00533275
NY
05
03401741
NY
05
30204814
NH
Enumeration date
01/20/2006
Last updated
04/02/2024
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