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NPI 1780109579

NPI 1780109579 : JIN YE : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1780109579
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    Entity Type          |    Individual 
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    Provider Name        |    JIN YE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/14/2017
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    622 W 168TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10032-3720
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    Country              |    US
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    Telephone            |    212-305-9876
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    Fax                  |    646-317-3165
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Provider Business Mailing Address
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    Address Line         |    6 MURRAY HILL RD 
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    City                 |    SCARSDALE
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    State                |    NY
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    Zip                  |    10583-2804
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    Country              |    US
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    Telephone            |    914-826-7898
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    119568
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    611533
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    26NJ15236000
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    License Number State |    NJ
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