Provider Demographics
NPI:1982756656
Name:YA, AUNG ZE (MD)
Entity Type:Individual
Prefix:DR
First Name:AUNG
Middle Name:ZE
Last Name:YA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:144 45 87TH AVENUE
Mailing Address - Street 2:SILVERCREST CENTER FOR NURSING & REH
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3109
Mailing Address - Country:US
Mailing Address - Phone:718-480-4026
Mailing Address - Fax:718-480-4028
Practice Address - Street 1:144 45 87TH AVENUE
Practice Address - Street 2:SILVERCREST CENTER FOR NURSING & REH
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-3109
Practice Address - Country:US
Practice Address - Phone:718-480-4026
Practice Address - Fax:718-480-4028
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY23814301207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY23814301OtherNYS MEDICAL LICENSE
NY02624371Medicaid
NYI22833Medicare UPIN
NY260AT1Medicare ID - Type Unspecified