Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 204609 | NY |
N | 111NI0900X | Internist | 204609 | NY |
Y | 207RG0100X | Gastroenterologist | 204609 | NY |
NPI | 1053325647 |
---|---|
Provider Name | Alan C. Yao |
First Address | Flushing, NY 11354-4561 |
Second Address | Flushing, NY 11354-4561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 21/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02163642 | (05) | NY |
H35652 | (02) | NY |