Most Relevant Information
Provider Data
| NPI Number: | 1003349606 |
| Provider Name: | JASON YAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 309720 |
Most Important Dates
| Enumeration Date: | 04/10/2017 |
| Last Updated: | 02/14/2022 |
Provider Practice Location
7559 263RD ST
GLEN OAKS
NY
110041150
Practice Location Phone/Fax
| Phone: | 7184705730 |
| Fax: |
Provider Mailing Location
7559 263RD ST
GLEN OAKS
NY
110041150
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Psychiatry EMR