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NPI Code Detail

MEDICARE: JENNIFER YONG MD

MEDICARE:   JENNIFER  YONG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician274110MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548671738
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER YONG MD
Provider Business Mailing Address
First Line : 243 CHARLES ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-3002
Country : US
Telephone Number : 617-573-4443
Fax Number :
Provider Business Practice Location Address
First Line : 450 ENDO BLVD
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-6723
Country : US
Telephone Number : 516-832-8000
Fax Number : 516-683-3386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2014
Last Update Date : 12/22/2023

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