Individual provider · Type 1 NPI

Yi Song

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1962990564 Active

Practice location

450 Clarkson Ave # 40
Brooklyn, NY 11203-2012

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 502-2037

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962990564

Yi Song's National Provider Identifier is 1962990564, issued on Apr 29, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 25, 2025.