Provider Demographics
NPI:1730147281
Name:YAO, TSEHWA (DMSC,MPA, MHS, MMS)
Entity type:Individual
Prefix:DR
First Name:TSEHWA
Middle Name:
Last Name:YAO
Suffix:
Gender:M
Credentials:DMSC,MPA, MHS, MMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MARLBORO RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3308
Mailing Address - Country:US
Mailing Address - Phone:917-602-3063
Mailing Address - Fax:917-970-9539
Practice Address - Street 1:28 MARLBORO RD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3308
Practice Address - Country:US
Practice Address - Phone:917-602-3063
Practice Address - Fax:917-970-9539
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005711363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
970013573OtherRAILROAD MEDICARE
970013573OtherRAILROAD MEDICARE
P03232Medicare UPIN