Individual
JEANNETTE MAYFRAN YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
291 GARRISON AVE, STATEN ISLAND, NY 10314-2089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F348632
NY
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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