Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 000811 | CT |
NPI | 1043249758 |
---|---|
Provider Name | Amy Tsun Man Yung |
First Address | White Plains, NY 10605-3206 |
Second Address | New Haven, CT 06511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 06/08/2018 |