Healthcare Provider Details

I. General information

NPI: 1184797565
Provider Name (Legal Business Name): GARY YEN, D.C P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 W 32ND ST STE. 501
NEW YORK NY
10001-3816
US

IV. Provider business mailing address

38 W 32ND ST STE. 501
NEW YORK NY
10001-3816
US

V. Phone/Fax

Practice location:
  • Phone: 212-868-0509
  • Fax: 212-760-0895
Mailing address:
  • Phone: 212-868-0509
  • Fax: 212-760-0895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number009842
License Number StateNY

VIII. Authorized Official

Name: DR. GARY YEN
Title or Position: OWNER
Credential: D.C.
Phone: 212-868-0509