Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 253588 | NY |
N | 2080P0208X | Pediatric Infectious Diseases | 036128197 | IL |
Y | 2080P0208X | Pediatric Infectious Diseases | 253588 | NY |
NPI | 1134357775 |
---|---|
Provider Name | Dr. Karl Oliver Ang Yu |
First Address | Buffalo, NY 14203-1009 |
Second Address | Buffalo, NY 14203-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 18/10/2019 |