Healthcare Provider Details

I. General information

NPI: 1952923682
Provider Name (Legal Business Name): YVONNE YEUNG FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 64TH STREET
BROOKLYN NY
11220-4714
US

IV. Provider business mailing address

55 WATER STREET 2ND FLOOR CRED DEPT
NEW YORK NY
10041-0010
US

V. Phone/Fax

Practice location:
  • Phone: 718-439-2000
  • Fax: 718-439-2004
Mailing address:
  • Phone: 646-680-2888
  • Fax: 516-542-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF345425-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: