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NPI Code Detail

MEDICARE: MISS LING YAN JIANG P.A

MEDICARE: MISS LING YAN JIANG P.A
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
1363A00000XPhysician Assistant016804NY

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 : 1578991964
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LING YAN JIANG P.A
Provider Business Mailing Address
First Line : 5604 7TH AVE STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4660
Country : US
Telephone Number : 718-360-7666
Fax Number : 718-450-8919
Provider Business Practice Location Address
First Line : 5604 7TH AVE STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4660
Country : US
Telephone Number : 718-820-6091
Fax Number : 718-450-8919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2013
Last Update Date : 05/07/2024

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Directions to “ MISS LING YAN JIANG P.A” Practice Location

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