Healthcare Provider Details

I. General information

NPI: 1245688985
Provider Name (Legal Business Name): YEN HOONG OOI MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 06/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 59TH ST SUITE 7
BROOKLYN NY
11220-3936
US

IV. Provider business mailing address

762 59TH ST SUITE 7
BROOKLYN NY
11220-3936
US

V. Phone/Fax

Practice location:
  • Phone: 917-338-6688
  • Fax: 347-284-6423
Mailing address:
  • Phone: 917-338-6688
  • Fax: 347-284-6423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number270528
License Number StateNY

VIII. Authorized Official

Name: DR. YEN HOONG OOI
Title or Position: PROVIDER/OWNER
Credential: MD
Phone: 917-703-4194