Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD419942 | PA |
N | 111NI0900X | Internist | MD419942 | PA |
Y | 207RX0202X | Medical Oncology | 257085 | NY |
NPI | 1073554440 |
---|---|
Provider Name | Dr. Kenneth Ho-Ming Yu |
First Address | New York, NY 10065-6800 |
Second Address | New York, NY 10065-6800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 07/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013305870001 | (05) | PA |
135448 | (02) |