Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 009842 | NY |
N | 111NN1001X | Nutrition | 009842 | NY |
N | 111NR0400X | Rehabilitation Chiropractor | 009842 | NY |
N | 111NS0005X | Chiropractic Sports Physician | 009842 | NY |
NPI | 1275606642 |
---|---|
Provider Name | Dr. Gary Yen |
First Address | New York, NY 10016-4766 |
Second Address | New York, NY 10001-3816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |