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NPI Code Detail

MEDICARE: CHAOFAN YUAN MD

MEDICARE:   CHAOFAN  YUAN  MD
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
1207RP1001XPulmonary Disease Physician314793NY

General Provider Information

NPI Number : 1508326836
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAOFAN YUAN MD
Provider Business Mailing Address
First Line : PO BOX 14890
Second Line :
City : ALBANY
State : NY
Zip : 12212-4890
Country : US
Telephone Number : 518-525-5601
Fax Number : 518-649-4094
Provider Business Practice Location Address
First Line : 5 PALISADES DR STE 100
Second Line :
City : ALBANY
State : NY
Zip : 12205-6433
Country : US
Telephone Number : 518-438-4496
Fax Number : 518-438-5803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2019
Last Update Date : 01/02/2026

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Directions to “ CHAOFAN YUAN MD” Practice Location

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