Provider Demographics
NPI:1518903277
Name:YANG-KAUH, CHRISTINE CHIH-MEI (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CHIH-MEI
Last Name:YANG-KAUH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:KAUH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:31 PHEASANT RUN RD
Mailing Address - Street 2:VAN BRUNT STATION PARK SLOPE EMERGENCY PHYSICIAN SERVIC
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-2318
Mailing Address - Country:US
Mailing Address - Phone:646-334-5888
Mailing Address - Fax:
Practice Address - Street 1:31 PHEASANT RUN RD
Practice Address - Street 2:VAN BRUNT STATION PARK SLOPE EMERGENCY PHYSICIAN SERVIC
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-2318
Practice Address - Country:US
Practice Address - Phone:646-334-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233624207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02622255Medicaid
NY1165Q1Medicare ID - Type Unspecified
NY02622255Medicaid