Provider Demographics
NPI:1285878249
Name:AU, JESSICA LANG-CHI (MD)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LANG-CHI
Last Name:AU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:39 WEST 29TH STREET
Mailing Address - Street 2:11TH FLOOR
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:646-770-0916
Mailing Address - Fax:646-797-4628
Practice Address - Street 1:39 WEST 29TH STREET
Practice Address - Street 2:11TH FLOOR
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:646-770-0916
Practice Address - Fax:646-797-4628
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2018-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC201012-01011208100000X
NY269781-1208100000X
NY269781208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1285878249OtherNPI