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NPI 1851397129

NPI 1851397129 : BER-YUH YANG M.D. : FLUSHING, NY

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General NPI Number Information
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    NPI Number           |    1851397129
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    Entity Type          |    Individual 
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    Provider Name        |    BER-YUH YANG M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2005
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    Last Update Date     |    10/16/2024
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Provider Practice Location Address
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    Address Line         |    13511 40TH RD SUITE 3D
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11354-5301
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    Country              |    US
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    Telephone            |    718-539-8483
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    Fax                  |    718-539-8422
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Provider Business Mailing Address
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    Address Line         |    13511 40TH RD SUITE 3D
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11354-5323
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    Country              |    US
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    Telephone            |    718-539-8483
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    Fax                  |    718-539-8422
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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        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    195503
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    License Number State |    NY
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