MEDICARE: GARY YEN, D.C P.C.

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	009842	NY

General Provider Information

NPI Number	:	1184797565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARY YEN, D.C P.C.

Provider Business Mailing Address
First Line	:	38 W 32ND ST
Second Line	:	STE. 501
City	:	NEW YORK
State	:	NY
Zip	:	10001-3816
Country	:	US
Telephone Number	:	212-868-0509
Fax Number	:	212-760-0895

Provider Business Practice Location Address
First Line	:	38 W 32ND ST
Second Line	:	STE. 501
City	:	NEW YORK
State	:	NY
Zip	:	10001-3816
Country	:	US
Telephone Number	:	212-868-0509
Fax Number	:	212-760-0895

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GARY YEN
Credential	:	D.C.
Telephone Number	:	212-868-0509

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/22/2020

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