| Doctor Name: | DR. YI SHENG KAM |
| NPI Number: | 1093963134 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | |
| Business Practice Address: | 24812 Northern Blvd 2a Little Neck, NY - 113621206 |
| Business Phone Number: | 7182813028 |
| Business Fax Number: | 7182813029 |
| Mailing Address: | 24812 Northern Blvd, 2a LITTLE NECK |
| State: | NY |
| Postal Code: | 113621206 |
| Phone Number: | 7182813028 |
| Fax Number: | 7182813029 |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 03/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |