MEDICARE: DR. YASHA YANG LAC

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
1	171100000X	Acupuncturist	003182	NY

General Provider Information

NPI Number	:	1134315922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YASHA YANG LAC

Provider Business Mailing Address
First Line	:	225 DOLSON AVE STE 206A
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-6570
Country	:	US
Telephone Number	:	845-344-1110
Fax Number	:	973-983-6930

Provider Business Practice Location Address
First Line	:	225 DOLSON AVE STE 206A
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-6570
Country	:	US
Telephone Number	:	845-344-1110
Fax Number	:	973-983-6930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	07/18/2019

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Directions to “ DR. YASHA YANG LAC” Practice Location

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