Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 297076 | NY |
NPI | 1053731414 |
---|---|
Provider Name | Luanna Yang |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14625-2663 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2014 |
Last Update Date | 06/12/2021 |