Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 293521 | NY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 67306-20 | WI |
N | 207YP0228X | Pediatric Otolaryngology | 293521 | NY |
NPI | 1073879417 |
---|---|
Provider Name | Minyoung Jang |
First Address | New York, NY 10032-1559 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 17/01/2019 |