Individual
SHIN CHIEH YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL HOUSE STAFF OFFICE, STONY BROOK, NY 11794-0001
(631) 444-2754
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL HOUSE STAFF OFFICE, STONY BROOK, NY 11794-7148
(631) 444-2754
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN18108
FL
1223G0001X
General Practice Dentistry
DN18108
FL
1223G0001X
General Practice Dentistry
DS037299
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
12/27/2007
Last updated
04/25/2019
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