Lai, Yu Jen

Lai, Yu Jen is an individual health care provider with primary practice located at 200 Belle Terre Rd Suite E740, Port Jefferson NY 11777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Lai, Yu Jen can be contacted via phone (631) 474-6879.

Contact Information

Primary practice address
200 Belle Terre Rd Suite E740 Port Jefferson NY 11777
Phone: (631) 474-6879
Fax: (631) 474-6448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 211328 New York

Profile Details

NPI number 1083787071
LBN Legal business name Lai, Yu Jen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083787071 NPPES
New York MEDICAID 01898493

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