Individual
DR. JING YAO YE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
380 NASSAU RD, LONG ISLAND FQHC, INC., ROOSEVELT, NY 11575-1343
(516) 571-8600
Mailing address
380 NASSAU RD, LONG ISLAND FQHC, INC, ROOSEVELT, NY 11575-1343
(516) 571-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02801774
—
NY
Enumeration date
12/14/2006
Last updated
01/29/2014
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