Individual
DR. HENRY Y TY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
12042
NH
207T00000X
Neurological Surgery Physician
Primary
218030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030531
NHP
MA
01
—
01Y007853MA01
ANTHEM
NH
01
—
05-00833
EVERCARE
MA
01
—
05-00938
UHC
MA
05
—
2020670
—
MA
05
—
30203970
—
NH
01
—
467235
THP
MA
01
—
59840
FCHP
MA
01
—
7456469
AETNA
MA
01
—
7960842-001
CIGNA
MA
01
—
AA1709
HPHC
MA
01
—
J26789
BCBS
MA
Enumeration date
10/03/2005
Last updated
03/04/2020
Update your record
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