Individual
YIN MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(718) 267-4245
Mailing address
2551 49TH ST, ASTORIA, NY 11103-1120
(718) 728-7494
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010384
NY
Other
Enumeration date
11/06/2006
Last updated
10/09/2009
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