MEDICARE: DR. YANG QIU DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	060448	NY

General Provider Information

NPI Number	:	1386145464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YANG QIU DDS

Provider Business Mailing Address
First Line	:	3808 UNION ST STE 4C
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5670
Country	:	US
Telephone Number	:	718-440-6603
Fax Number	:

Provider Business Practice Location Address
First Line	:	771 55TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3210
Country	:	US
Telephone Number	:	718-438-1718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2018
Last Update Date	:	02/15/2022

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Directions to “ DR. YANG QIU DDS” Practice Location

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