Individual
BOYOUNG JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206
(718) 963-6165
Mailing address
7714 BAY PKWY APT 6F, BROOKLYN, NY 11214-1533
(917) 886-3255
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03916561
—
NY
Enumeration date
04/18/2014
Last updated
07/18/2019
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