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Individual

DR. CHANYANG JU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Mailing address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4352

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
330867
NY

Other

Enumeration date
03/25/2021
Last updated
06/12/2024
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