Individual
MR. GARY YAM
Active
Individual
MR. GARY YAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
652027
NY
363LA2100X
Acute Care Nurse Practitioner
F431347-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
652027-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
652027
NYSED NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
01/17/2018
Last updated
11/22/2024
Update your record
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