Organization
JERICHO AMBULATORY ENDOSCOPY , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN C YAO (M.D.)
(631) 629-4628
Entity
Organization
Contact information
Practice address
1880 E JERICHO TPKE, 1F/L, HUNTINGTON, NY 11743
(631) 629-4628
(631) 629-4629
Mailing address
1880 E JERICHO TPKE, 1F/L, HUNTINGTON, NY 11743
(631) 629-4628
(631) 629-4629
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
204609
NY
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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