Healthcare Provider Details

I. General information

NPI: 1699351288
Provider Name (Legal Business Name): CHRISTINE YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ATWELL RD
COOPERSTOWN NY
13326-1301
US

IV. Provider business mailing address

PO BOX 725
COOPERSTOWN NY
13326-0725
US

V. Phone/Fax

Practice location:
  • Phone: 607-547-3456
  • Fax: 607-547-6612
Mailing address:
  • Phone: 607-547-3456
  • Fax: 607-547-6612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA180764
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: