Organization
LY FAMILY MEDICINE ELMHURST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIYAN YAO MD (OWNER)
(631) 882-1689
Entity
Organization
Contact information
Practice address
4502 82ND ST, ELMHURST, NY 11373-3598
(718) 779-2248
(718) 779-2448
Mailing address
36 HILLTOP DR, SYOSSET, NY 11791-2003
(631) 882-1689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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