Provider Demographics
NPI:1902082209
Name:GU, YUEHJIEN R (MD)
Entity Type:Individual
Prefix:DR
First Name:YUEHJIEN
Middle Name:R
Last Name:GU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:YUEJIE
Other - Middle Name:
Other - Last Name:GU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:DEPARTMENT OF NEUROLOGICAL SURGERY
Mailing Address - Street 2:NEW YORK SPINE AND BRAIN SURGERY HSC T12 RM 080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8122
Mailing Address - Country:US
Mailing Address - Phone:631-444-3689
Mailing Address - Fax:631-444-1535
Practice Address - Street 1:DEPARTMENT OF NEUROLOGICAL SURGERY
Practice Address - Street 2:NEW YORK SPINE AND BRAIN SURGERY HSC T12 RM 080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794
Practice Address - Country:US
Practice Address - Phone:631-444-1116
Practice Address - Fax:631-444-1535
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2665602084N0400X, 2084A2900X, 2084A2900X
PAMD 4333042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology