Provider Demographics
NPI:1548424187
Name:YEN, YA-HSIU (MD)
Entity Type:Individual
Prefix:
First Name:YA-HSIU
Middle Name:
Last Name:YEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MA NILAR
Other - Middle Name:
Other - Last Name:WIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1706 WILLOUGHBY AVE
Mailing Address - Street 2:RIDGEWOOD
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-1148
Mailing Address - Country:US
Mailing Address - Phone:347-967-6621
Mailing Address - Fax:
Practice Address - Street 1:1706 WILLOUGHBY AVE
Practice Address - Street 2:RIDGEWOOD
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-1148
Practice Address - Country:US
Practice Address - Phone:347-967-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271622208M00000X, 207RH0002X, 207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine