Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 238226 | NY |
NPI | 1780734301 |
---|---|
Provider Name | Dr. George Chi-Chiao Yang |
First Address | New York, NY 10021-2850 |
Second Address | New York, NY 10021-2850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 04/10/2011 |