Individual
DR. JACK YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
139 CENTRE ST STE 702, NEW YORK, NY 10013-4557
(212) 226-6888
(212) 226-8805
Mailing address
139 CENTRE ST STE 702, NEW YORK, NY 10013-4557
(212) 226-6888
(212) 226-8805
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006983-1
NY
Other
Enumeration date
05/01/2018
Last updated
07/25/2019
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