Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 196486 | NY |
NPI | 1033110788 |
---|---|
Provider Name | Dr. Xiaojun Yan |
First Address | Brooklyn, NY 11234 |
Second Address | Brooklyn, NY 11234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 24/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01523142 | (05) | NY |
089347 | BETTER HEALTH ADVANTAGE (01) | NY |
123593 | VYTRA HEALTH PLAN (01) | NY |
1446208 | UNITED HEALTHCARE (01) | NY |
2186828 | AETNA/US HEALTH (01) | NY |
2199426 | FIRST HEALTH (01) | NY |
290011895 | RAILROAD/MEDICARE (01) | NY |
32166P | H.I.P. (01) | NY |
3C5321 | HEALTH NET (01) | NY |
4770612 | CIGNA (01) | NY |
79844 | GHI/HMO (01) | NY |
F87513 | (02) | NY |
P1004706 | OXFORD (01) | NY |
YR6486 | ATLANTIS (01) | NY |