Healthcare Provider Details

I. General information

NPI: 1255257663
Provider Name (Legal Business Name): JINYING YE MS, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PARTRIDGE DR
COMMACK NY
11725-4704
US

IV. Provider business mailing address

4 PARTRIDGE DR
COMMACK NY
11725-4704
US

V. Phone/Fax

Practice location:
  • Phone: 646-712-4066
  • Fax:
Mailing address:
  • Phone: 646-712-4066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF358574
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: