Provider Demographics
NPI:1760642961
Name:GAO, WEIYI (MD)
Entity Type:Individual
Prefix:DR
First Name:WEIYI
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:83 SOMERSET DR S
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1821
Mailing Address - Country:US
Mailing Address - Phone:917-563-1697
Mailing Address - Fax:917-563-1804
Practice Address - Street 1:13668 ROOSEVELT AVE STE 4C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5510
Practice Address - Country:US
Practice Address - Phone:917-563-1697
Practice Address - Fax:917-563-1804
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY258320207R00000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine