Provider Demographics
NPI:1871804880
Name:YI, ROSEMARY (MD)
Entity type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:
Last Name:YI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 ESSEX STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-2134
Mailing Address - Country:US
Mailing Address - Phone:973-947-4700
Mailing Address - Fax:888-900-9262
Practice Address - Street 1:412 W CARROLL AVE STE 107
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4708
Practice Address - Country:US
Practice Address - Phone:626-914-4890
Practice Address - Fax:626-963-8351
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA167617207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery