Provider Demographics
NPI:1649593658
Name:YAP, PAMELA FRANCES A (LAC, DIPL OM)
Entity Type:Individual
Prefix:MISS
First Name:PAMELA FRANCES
Middle Name:A
Last Name:YAP
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9407 65TH ROAD
Mailing Address - Street 2:#2
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:347-706-0083
Mailing Address - Fax:
Practice Address - Street 1:154 W 14TH ST
Practice Address - Street 2:FLOOR 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7307
Practice Address - Country:US
Practice Address - Phone:347-706-0083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004296171100000X
171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist