Ethylin Wang Jabs
Clinical Genetics (M.D.)
1 Gustave Levy P Lace Box 1497
New York
, New York 10029-6574
Ethylin Wang Jabs
Clinical Genetics (M.D.)
1 Gustave Levy P Lace Box 1497
New York
, New York 10029-6574
(212) 241-7112
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Ethylin Wang Jabs
- 1 Gustave Levy P Lace Box 1497
- New York, NY
- Zip : 10029-6574
- Fax : (212) 241-7112
- Phone : (212) 241-3504
Second Address
- Ethylin Wang Jabs
- 1 Gustave Levy P Lace Box 1497
- New York, NY
- Zip : 10029-6574
- Fax : (212) 241-7112
- Phone : (212) 241-3504
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 242888 | NY |
National Provider Identifier
| NPI | 1467408336 |
|---|---|
| Provider Name | Ethylin Wang Jabs |
| First Address | New York, NY 10029-6574 |
| Second Address | New York, NY 10029-6574 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 08/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B70740 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.