Individual
AJAX YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1534 VICTORY BLVD LOWR LEVEL, STATEN ISLAND, NY 10314-3548
(718) 667-3577
(718) 667-3040
Mailing address
1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
(718) 667-3577
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
292980
NY
208VP0000X
Pain Medicine Physician
Primary
292980
NY
Other
Enumeration date
05/25/2006
Last updated
10/27/2020
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