Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 196257 | NY |
NPI | 1134189194 |
---|---|
Provider Name | Dr. Rosie Y Lyo |
First Address | New Rochelle, NY 10801-7021 |
Second Address | New Rochelle, NY 10801-5503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 02/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01643567 | (05) | NY |
G17166 | (02) |