Most Relevant Information
Provider Data
| NPI Number: | 1003178294 |
| Provider Name: | STEPHEN P YANG M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2012 |
| Last Updated: | 03/23/2023 |
Provider Practice Location
200 OLD COUNTRY RD
MINEOLA
NY
115014235
Practice Location Phone/Fax
| Phone: | 5166632169 |
| Fax: |
Provider Mailing Location
3400 SPRUCE ST
PHILADELPHIA
PA
191044238
Provider Mailing Phone/Fax
| Phone: | 2156151677 |
| Fax: |