Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 310439 | NY |
NPI | 1023770724 |
---|---|
Provider Name | Yan Yu Yeung |
First Address | Astoria, NY 11106-4754 |
Second Address | Flushing, NY 11355-4527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2021 |
Last Update Date | 10/10/2021 |