MEDICARE: AMY H YEH DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	270898	NY
2	207P00000X	Emergency Medicine Physician	036152472	IL

General Provider Information

NPI Number	:	1215376421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY H YEH DO

Provider Business Mailing Address
First Line	:	92 FORT GREENE PL APT 4B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-1419
Country	:	US
Telephone Number	:	305-343-0207
Fax Number	:

Provider Business Practice Location Address
First Line	:	92 FORT GREENE PL APT 4B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-1419
Country	:	US
Telephone Number	:	305-343-0207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	04/30/2020

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Directions to “ AMY H YEH DO” Practice Location

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