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NPI Code Detail

MEDICARE: YIJUN YANG MD

MEDICARE: YIJUN YANG MD
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
1207ZC0500XCytopathology Physician205322NY
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician205322NY

General Provider Information

NPI Number : 1508868936
Entity Type Code : Individual
Provider Name (Legal Business Name) : YIJUN YANG MD
Provider Business Mailing Address
First Line : 1226 E WATER ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-1155
Country : US
Telephone Number : 315-478-4185
Fax Number : 315-478-0840
Provider Business Practice Location Address
First Line : 1226 E WATER ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-1155
Country : US
Telephone Number : 315-558-6641
Fax Number : 315-703-7902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 06/20/2012

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Directions to “ YIJUN YANG MD” Practice Location

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