Individual
DR. HENRY YIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD RM 176, STONY BROOK, NY 11794-2190
(631) 216-9094
(631) 638-0069
Mailing address
101 NICOLLS RD RM 176, STONY BROOK, NY 11794-0001
(315) 391-4356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
332306
NY
207RN0300X
Nephrology Physician
Primary
332306
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2020
Last updated
05/16/2025
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