Provider Demographics
NPI:1942612007
Name:MAO, DAVID QIYUAN (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:QIYUAN
Last Name:MAO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:829 57TH STREET
Mailing Address - Street 2:5TH FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3677
Mailing Address - Country:US
Mailing Address - Phone:718-375-3738
Mailing Address - Fax:718-686-0188
Practice Address - Street 1:829 57TH STREET
Practice Address - Street 2:5TH FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3677
Practice Address - Country:US
Practice Address - Phone:718-375-3738
Practice Address - Fax:718-686-0188
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-23
Last Update Date:2018-10-24
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Provider Licenses
StateLicense IDTaxonomies
NY2826192084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology