Individual
HEEBYEONG JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5801 E TAFT RD, SYRACUSE, NY 13212-3291
(315) 418-4140
Mailing address
13160 CORBEL CIR APT 623, FORT MYERS, FL 33907-7891
(917) 873-1913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
678835
NY
Other
Enumeration date
04/01/2019
Last updated
06/06/2025
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