Provider Demographics
NPI:1396067609
Name:SHY, MICHAEL YUAN (MD PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:YUAN
Last Name:SHY
Suffix:
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:92-29 QUEENS BLVD.
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1072
Mailing Address - Country:US
Mailing Address - Phone:718-606-6912
Mailing Address - Fax:718-606-6914
Practice Address - Street 1:92-29 QUEENS BLVD.
Practice Address - Street 2:SUITE 2B
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1072
Practice Address - Country:US
Practice Address - Phone:718-606-6912
Practice Address - Fax:718-606-6914
Is Sole Proprietor?:No
Enumeration Date:2010-02-28
Last Update Date:2015-05-18
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Provider Licenses
StateLicense IDTaxonomies
NY278900208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology