# JERICHO AMBULATORY ENDOSCOPY , PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356669170
- **Authorized official:** DR. ALAN C YAO (M.D.)
- **Authorized official phone:** (631) 629-4628

## Contact information

- **Practice address:** 1880 E JERICHO TPKE, 1F/L, HUNTINGTON, NY 11743
- **Practice address phone:** (631) 629-4628
- **Practice address fax:** (631) 629-4629
- **Mailing address:** 1880 E JERICHO TPKE, 1F/L, HUNTINGTON, NY 11743
- **Mailing address phone:** (631) 629-4628
- **Mailing address fax:** (631) 629-4629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 204609 | NY | Yes |

## Other

- **Enumeration date:** 05/05/2010
- **Last updated:** 05/05/2010