National Provider Identifier
Edison Jyang, M.D.
Edison Jyang, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 252-3457.
Profile Overview
- NPI
- 1154175792
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 11, 2024
- Last Updated
- November 22, 2024
Practice Location
- 101 Dates Drive Cayuga Medical Center
- Ithaca, NY 14850
Phone: (607) 252-3457
Mailing Address
- 101 Dates Drive Internal Medicine Residency Cayuga Medi
- Ithaca, NY 14850
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1154175792
- Entity Type
- Individual
- Last Name
- Jyang
- First Name
- Edison
- Credential
- M.D.
- Provider Other Last Name
- Jyang
- Provider Other First Name
- Ping-Fong
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 101 Dates Drive Internal Medicine Residency Cayuga Medi
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Practice Street Address
- 101 Dates Drive Cayuga Medical Center
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 252-3457
- Enumeration Date
- April 11, 2024
- Last Updated
- November 22, 2024
- Deactivation Date
- November 22, 2024
- Reactivation Date
- November 22, 2024
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)