Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 1050291 | NY |
N | 2080N0001X | Neonatal-Perinatal Doctor | 1050291 | NY |
N | 2080P0202X | Pediatric Cardiologist | 1050291 | NY |
NPI | 1184798357 |
---|---|
Provider Name | Dr. Alice C Yao |
First Address | Staten Island, NY 10305-2801 |
Second Address | Staten Island, NY 10305-2801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0042032 | US HEALTHCARE (01) | NY |
00753879 | (05) | NY |
105029A18 | HEALTH FIRST PROVIDER ID (01) | NY |