Individual
JASON YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13625 MAPLE AVE STE 201, FLUSHING, NY 11355-3891
(718) 886-8562
Mailing address
13625 MAPLE AVE STE 201, FLUSHING, NY 11355-3891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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