Individual
SOO RYUM YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE DEPT OF, NEW YORK, NY 10065-6007
(201) 421-8081
Mailing address
1275 YORK AVE DEPT OF, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
297170
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
07/20/2021
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