Individual
MIKE YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 693-7636
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
261763
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
261763
NY
Other
Enumeration date
08/11/2006
Last updated
07/07/2021
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