Li Yan Jiang | Brooklyn, NY • PECOS Search

Li Yan Jiang

Specialist

Other Service Providers

361 Bay Ridge Ave, Brooklyn, NY 11220-5314

PECOS Enrollment

Based on the most recent information from CMS, provider Li Yan Jiang does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1215271754
Provider Type
Individual
Full Name
Jiang, Li Yan
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/21/2012
Last Updated
11/21/2012

Contact Information

Practice Location

361 Bay Ridge Ave, Brooklyn, NY 11220-5314

Unlisted Fax

Mailing Location

361 Bay Ridge Ave, Brooklyn, NY 11220-5314

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 453316 New York