Individual
YI GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 WATERS PL, TOWER 1, 11TH FLOOR, BRONX, NY 10461-1046
(718) 920-2060
Mailing address
1250 WATERS PL, TOWER 1, 11TH FLOOR, BRONX, NY 10461
(347) 577-4460
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
302063
NY
207X00000X
Orthopaedic Surgery Physician
TR 60459940
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2014
Last updated
07/08/2022
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