Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TUV08778-1 | NY |
NPI | 1013401736 |
---|---|
Provider Name | Danica Yang |
First Address | Long Island City, NY 11101-4246 |
Second Address | New York, NY 10036-8005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2018 |
Last Update Date | 16/06/2018 |