MEDICARE: EMILY FOYE YENIE DC

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
1	111N00000X	Chiropractor	36670	CA

General Provider Information

NPI Number	:	1043997000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY FOYE YENIE DC

Provider Business Mailing Address
First Line	:	515 LINCOLN AVE APT 308
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-5506
Country	:	US
Telephone Number	:	207-475-4167
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 ALTOS OAKS DR STE 3
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5427
Country	:	US
Telephone Number	:	650-941-4475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2023
Last Update Date	:	06/30/2023

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Directions to “ EMILY FOYE YENIE DC” Practice Location

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