Individual
MISS TINA YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
56-45 MAIN STREET, FLUSHING, NY 11355
(718) 661-7305
Mailing address
56-45 MAIN STREET, FLUSHING, NY 11355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB12065300
NJ
207P00000X
Emergency Medicine Physician
321591
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2020
Last updated
12/31/2024
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