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NPI Code Detail

MEDICARE: MICHAEL M KYI MD

MEDICARE: MICHAEL M KYI MD
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
1207P00000XEmergency Medicine Physician154996NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11767Q1OTHERNYBCBS PIN #
24147736OTHERMVP PIN#-NWH
31082151OTHERNYAETNA HMO-NWH
47199210OTHERNYAETNA PPO - NWH

General Provider Information

NPI Number : 1003804337
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL M KYI MD
Provider Business Mailing Address
First Line : 2 MILLSTONE LN
Second Line :
City : SOUTH SALEM
State : NY
Zip : 10590-2018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 N BROADWAY
Second Line : PHELPS MEMORIAL HOSPITAL EMERGENCY DEPARTMENT
City : SLEEPY HOLLOW
State : NY
Zip : 10591-1020
Country : US
Telephone Number : 914-366-3590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 07/08/2007

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