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NPI Code Detail

MEDICARE: GRACE S YANG

MEDICARE: GRACE S YANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst1262CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033608104
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE S YANG
Provider Business Mailing Address
First Line : 22 OLD KINGS HWY
Second Line :
City : NEW CANAAN
State : CT
Zip : 06840-6413
Country : US
Telephone Number : 917-520-4251
Fax Number :
Provider Business Practice Location Address
First Line : 30 BUXTON FARM RD STE 105
Second Line :
City : STAMFORD
State : CT
Zip : 06905-1210
Country : US
Telephone Number : 203-674-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2018
Last Update Date : 09/07/2021

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Directions to “ GRACE S YANG ” Practice Location

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