Individual
KELLY YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(516) 470-3993
Mailing address
438 OLD COURTHOUSE RD, MANHASSET HILLS, NY 11040-1142
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
059567
NY
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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