Basic Information
| Provider Information | |||||||||
| NPI: | 1730147281 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YAO | ||||||||
| FirstName: | TSEHWA | ||||||||
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| Credential: | MPA, MHS, MMS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 LAFAYETTE ST | ||||||||
| Address2: | 6TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100134165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122741705 | ||||||||
| FaxNumber: | 2122740776 | ||||||||
| Practice Location | |||||||||
| Address1: | 170 WILLIAM ST | ||||||||
| Address2: | NEW YORK UNIVERSITY DOWNTOWN HOSPITAL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123125068 | ||||||||
| FaxNumber: | 2123125985 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2006 | ||||||||
| LastUpdateDate: | 09/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 005711 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 970013573 | 01 | RAILROAD MEDICARE | OTHER |