Provider Demographics
NPI:1598795890
Name:IRIE, HANNA YOKO (MD PHD)
Entity type:Individual
Prefix:
First Name:HANNA YOKO
Middle Name:
Last Name:IRIE
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUSTAVE L LEVY PLACE
Mailing Address - Street 2:MT. SINAI MEDICAL CENTER BOX 3000
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1176 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6503
Practice Address - Country:US
Practice Address - Phone:212-241-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259269207RX0202X
MA210010207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
210010OtherTUFTS
3600694OtherUNITED HEALTHCARE
2102790OtherMASSHEALTH MA MEDICAID
J28723OtherBCBS MA IDEMNITY BC ELECT
AA36876OtherHPHC DFCI ONLY
A38474Medicare ID - Type Unspecified
J28723OtherBCBS MA IDEMNITY BC ELECT