Provider Demographics
NPI:1194821603
Name:YUAN, RUMEI (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:RUMEI
Middle Name:
Last Name:YUAN
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 MAIN ST
Mailing Address - Street 2:SUITE 3D
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3956
Mailing Address - Country:US
Mailing Address - Phone:718-886-8318
Mailing Address - Fax:718-559-4815
Practice Address - Street 1:4235 MAIN ST
Practice Address - Street 2:SUITE 3D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3956
Practice Address - Country:US
Practice Address - Phone:718-886-8318
Practice Address - Fax:718-559-4815
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206272207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01777417Medicaid
NY03232GMedicare PIN
NY01777417Medicaid
NY89T292Medicare PIN