Provider Demographics
NPI:1477085017
Name:SIU, SARAH YIRK-WAH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:YIRK-WAH
Last Name:SIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 NORTHERN BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3013
Mailing Address - Country:US
Mailing Address - Phone:516-365-5652
Mailing Address - Fax:
Practice Address - Street 1:1350 NORTHERN BLVD FL 2
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3013
Practice Address - Country:US
Practice Address - Phone:516-365-5652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist