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NPI 1619706082

NPI 1619706082 : ANDREW YANG, MD P.C. : BAYSIDE, NY

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General NPI Number Information
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    NPI Number           |    1619706082
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDREW YANG, MD P.C. 
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Dates
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    Enumeration Date     |    08/01/2024
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    Last Update Date     |    03/12/2025
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Provider Practice Location Address
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    Address Line         |    4221 FRANCIS LEWIS BLVD # 107 
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    City                 |    BAYSIDE
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    State                |    NY
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    Zip                  |    11361-2573
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    Country              |    US
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    Telephone            |    917-242-4585
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    Fax                  |    917-993-6284
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Provider Business Mailing Address
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    Address Line         |    2175 LEMOINE AVE STE 401A 
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    City                 |    FORT LEE
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    State                |    NJ
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    Zip                  |    07024-6019
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    Country              |    US
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    Telephone            |    734-355-1166
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    Fax                  |    917-993-6284
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ANDREW  YANG 
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    Credential           |    MD
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    Telephone            |    917-242-4585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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