Individual provider · Type 1 NPI

Yu Guan, MD

Student in an Organized Health Care Education/Training Program · Smithtown, NY

NPI number 1124961966 Active

Practice location

50 Route 25A
Smithtown, NY 11787-1348

Mailing address

1000 Montauk Hwy
West Islip, NY 11795-4927

Other practice locations

  • 1000 N Village Ave, Rockville Centre, NY 11570-1000 · (646) 371-5060

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124961966

Yu Guan, MD's National Provider Identifier is 1124961966, issued on Apr 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Smithtown, NY. The record was last updated on Apr 14, 2026.