Individual
SUSAN YANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 AMALIA ST NE, CONCORD, NC 28025-2434
(704) 295-3255
(704) 295-7791
Mailing address
645 AMALIA ST NE, CONCORD, NC 28025-2434
(704) 295-3255
(704) 295-7791
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2020-02127
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2014
Last updated
04/29/2021
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