Healthcare Provider Details

I. General information

NPI: 1730098666
Provider Name (Legal Business Name): YUEN PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8419 BAY PKWY
BROOKLYN NY
11214-3303
US

IV. Provider business mailing address

8419 BAY PKWY
BROOKLYN NY
11214-3303
US

V. Phone/Fax

Practice location:
  • Phone: 646-520-7027
  • Fax:
Mailing address:
  • Phone: 646-520-7027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: SHING CHEUNG YUEN
Title or Position: PRESIDENT
Credential:
Phone: 646-520-7027