Provider Demographics
NPI:1851617906
Name:YUAN, CHAO ANNIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAO
Middle Name:ANNIE
Last Name:YUAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 E 82ND ST
Mailing Address - Street 2:APT 4
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7124
Mailing Address - Country:US
Mailing Address - Phone:347-277-4544
Mailing Address - Fax:
Practice Address - Street 1:532 E 82ND ST
Practice Address - Street 2:APT 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7124
Practice Address - Country:US
Practice Address - Phone:347-277-4544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256709207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine