| Yan Ling Gao, Physician, P.c. | |
|
6 Mount Airy Rd Croton On Hudson NY 10520-2135 | |
| (914) 271-8686 | |
| (914) 271-8376 |
| Full Name | Yan Ling Gao, Physician, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6 Mount Airy Rd, Croton On Hudson, New York |
| Authorized Official Name and Position | Yan Ling Gao (PRESIDENT) |
| Authorized Official Contact | 9142718686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yan Ling Gao, Physician, P.c. 6 Mount Airy Rd Croton On Hudson NY 10520-2135 Ph: (914) 271-8686 | Yan Ling Gao, Physician, P.c. 6 Mount Airy Rd Croton On Hudson NY 10520-2135 Ph: (914) 271-8686 |
| NPI Number | 1104995174 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 8729164645 |
|---|---|
| Medicare Enrollment ID | O20080318000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104995174 | NPI | - | NPPES |
| 02186189 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 220427 (New York) | Primary |
| Provider Name | Yan Ling Gao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326052994 PECOS PAC ID: 0143215970 Enrollment ID: I20040420000072 |
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