Healthcare Provider Details

I. General information

NPI: 1699826156
Provider Name (Legal Business Name): PATRICIA S. YAU D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 04/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W 41ST ST FL 2
NEW YORK NY
10036-7207
US

IV. Provider business mailing address

4020 BENHAM ST APT 2
ELMHURST NY
11373-1613
US

V. Phone/Fax

Practice location:
  • Phone: 212-398-9690
  • Fax:
Mailing address:
  • Phone: 917-579-6436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number050797
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: