Provider Demographics
NPI:1710753132
Name:YEH, ERICK (PA-C)
Entity Type:Individual
Prefix:
First Name:ERICK
Middle Name:
Last Name:YEH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BURLING LN APT 5I
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5669
Mailing Address - Country:US
Mailing Address - Phone:661-675-8699
Mailing Address - Fax:
Practice Address - Street 1:20 BURLING LN APT 5I
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5669
Practice Address - Country:US
Practice Address - Phone:661-675-8699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant