Yam, Gary

Yam, Gary is an individual health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Yam, Gary can be contacted via phone (631) 942-4613.

Contact Information

Primary practice address
101 Nicolls Rd Stony Brook NY 11794
Phone: (631) 942-4613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 652027 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 652027 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 652027-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X F431347-01 New York

Profile Details

NPI number 1619485281
LBN Legal business name Yam, Gary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Jan 31st, 2023 - about last year

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 1619485281 NPPES
New York Other 652027 NYSED NEW YORK STATE EDUCATION DEPARTMENT

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