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Organization

BAY RIDGE FAMILY MEDICAL DOCTOR P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY S YANG MD (M.D)
(718) 745-8686
Entity
Organization

Contact information

Practice address
364 86TH ST, BROOKLYN, NY 11209-5002
(718) 845-8686
(718) 845-8688
Mailing address
415 LITTLE CLOVE RD, STATEN ISLAND, NY 10301-4126
(718) 845-8686
(718) 845-8688

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209272
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209272
OTHER
NY
Enumeration date
07/08/2008
Last updated
01/31/2014
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