Provider Demographics
NPI:1558092593
Name:GAO, YUE (MD, MPH)
Entity type:Individual
Prefix:
First Name:YUE
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:MD, MPH
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 WEST 57TH STREET
Mailing Address - Street 2:15TH AND 16TH FLOORS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-247-8100
Mailing Address - Fax:212-247-8093
Practice Address - Street 1:200 WEST 57TH ST
Practice Address - Street 2:15TH AND 16TH FLOORS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-247-8100
Practice Address - Fax:212-247-8093
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT225727207Q00000X
NY333588207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine