Organization
WEIYI GAO MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEIYI GAO (MD)
(646) 221-6104
Entity
Organization
Contact information
Practice address
13668 ROOSEVELT AVE STE 4C, FLUSHING, NY 11354-5510
(917) 563-1697
(917) 563-1804
Mailing address
83 SOMERSET DR S, GREAT NECK, NY 11020-1821
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760642961
NPI
—
Enumeration date
05/10/2018
Last updated
09/20/2019
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