Provider Demographics
NPI:1942211396
Name:YAO, JORGE LO (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:LO
Last Name:YAO
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 1:50 TICE BLVD
Mailing Address - Street 2:STE A20
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7681
Mailing Address - Country:US
Mailing Address - Phone:585-273-1178
Mailing Address - Fax:585-273-3637
Practice Address - Street 1:601 ELMWOOD AVENUE BOX 626
Practice Address - Street 2:DEPT OF PATHOLOGY URMC-SMH
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:585-273-1178
Practice Address - Fax:585-273-3637
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210376207ZP0102X, 207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RA9701Medicare PIN