Healthcare Provider Details

I. General information

NPI: 1295996486
Provider Name (Legal Business Name): CHRISTINA JANE YANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 E 38TH ST FL 14
NEW YORK NY
10016-2708
US

IV. Provider business mailing address

240 E 38TH ST FL 14
NEW YORK NY
10016-2708
US

V. Phone/Fax

Practice location:
  • Phone: 646-501-7890
  • Fax: 646-501-7888
Mailing address:
  • Phone: 646-501-7890
  • Fax: 646-501-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number279845
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: