Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 22743 | ZZ |
Y | 207T00000X | Neurosurgeon | 268387 | NY |
NPI | 1063757821 |
---|---|
Provider Name | Raymund Lee-Ming Yong |
First Address | New York, NY 10029-0312 |
Second Address | New York, NY 10029-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2012 |
Last Update Date | 13/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03604271 | (05) | NY |
A400085524 | (02) | NY |