Healthcare Provider Details

I. General information

NPI: 1053326843
Provider Name (Legal Business Name): NAI YAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 02/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 HESTER ST SECOND FLOOR
NEW YORK NY
10013-4966
US

IV. Provider business mailing address

323 E 34TH ST SECOND FLOOR
NEW YORK NY
10016-4974
US

V. Phone/Fax

Practice location:
  • Phone: 212-889-0770
  • Fax: 212-725-3538
Mailing address:
  • Phone: 212-889-0770
  • Fax: 212-725-3538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number205262
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: