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Individual

REBECCA WEIWEI GAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-4836
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-4836

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
336458
NY
207Y00000X
Otolaryngology Physician
Primary
4301512036
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351044210
MI

Other

Enumeration date
04/17/2019
Last updated
01/22/2026
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