Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | NY2243091 | NY |
NPI | 1003888157 |
---|---|
Provider Name | Amy Y Lai |
First Address | Jamaica, NY 11418 |
Second Address | Jamaica, NY 11418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 10/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02321837 | (05) | NY |
H67894 | (02) | NY |