Provider Demographics
NPI:1578608774
Name:YAP, KOKWAI (MD)
Entity Type:Individual
Prefix:DR
First Name:KOKWAI
Middle Name:
Last Name:YAP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 EMMA LN STE 403
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3705
Mailing Address - Country:US
Mailing Address - Phone:518-383-9149
Mailing Address - Fax:754-218-0932
Practice Address - Street 1:4 EMMA LN STE 403
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3705
Practice Address - Country:US
Practice Address - Phone:518-383-9149
Practice Address - Fax:754-218-0932
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205105208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
G65382Medicare UPIN
CC3181Medicare ID - Type Unspecified