Provider Demographics
NPI:1336494988
Name:MILLENNIUM FACIAL PLASTIC SURGERY, PLLC
Entity Type:Organization
Organization Name:MILLENNIUM FACIAL PLASTIC SURGERY, PLLC
Other - Org Name:GEORGE YANG, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:CHI-CHIAO
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-787-7188
Mailing Address - Street 1:132 E 76TH ST OFC 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2850
Mailing Address - Country:US
Mailing Address - Phone:212-787-7188
Mailing Address - Fax:212-787-7187
Practice Address - Street 1:132 E 76TH ST OFC 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2850
Practice Address - Country:US
Practice Address - Phone:212-787-7188
Practice Address - Fax:212-787-7187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service