Healthcare Provider Details

I. General information

NPI: 1407197825
Provider Name (Legal Business Name): MAY YONG MSN, RN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2013
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W 30TH ST APT. 12A
NEW YORK NY
10001-4004
US

IV. Provider business mailing address

130 W 30TH ST APT. 12A
NEW YORK NY
10001-4004
US

V. Phone/Fax

Practice location:
  • Phone: 650-380-2130
  • Fax:
Mailing address:
  • Phone: 650-380-2130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number657418
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberF430800-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: