Healthcare Provider Details

I. General information

NPI: 1598047961
Provider Name (Legal Business Name): MS. YU BIN YEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2011
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SAINT JAMES BLVD
SPRINGFIELD MA
01104-2918
US

IV. Provider business mailing address

359 WOODLAND CIR
LUDLOW MA
01056-1679
US

V. Phone/Fax

Practice location:
  • Phone: 413-733-3002
  • Fax: 413-733-2907
Mailing address:
  • Phone: 413-218-9430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25512
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: