Individual
YU JEN LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BELLE TERRE RD, SUITE E740, PORT JEFFERSON, NY 11777
(631) 474-6879
(631) 474-6448
Mailing address
200 BELLE TERRE RD, SUITE E740, PORT JEFFERSON, NY 11777
(631) 474-6879
(631) 474-6448
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
211328
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01898493
—
NY
Enumeration date
11/16/2006
Last updated
07/06/2010
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