Individual
IN CHAE JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 E 14TH ST, NEW YORK, NY 10003-4201
(212) 979-4000
(845) 790-2675
Mailing address
2 CATHARINE ST, POUGHKEEPSIE, NY 12601-3100
(866) 868-8415
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A151073-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00873432
—
NY
Enumeration date
11/08/2005
Last updated
11/10/2008
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