Individual
FAN JIM YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BUILDING 6/ SUITE B125, BRONX, NY, NY 10461
(718) 918-5820
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
322001
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2019
Last updated
09/18/2023
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