Healthcare Provider Details

I. General information

NPI: 1780973057
Provider Name (Legal Business Name): JENNIFER YEUNG JENNIFER YEUNG M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 WHITE PLAINS RD FL 2
EASTCHESTER NY
10709-5545
US

IV. Provider business mailing address

685 WHITE PLAINS RD
EASTCHESTER NY
10709-5545
US

V. Phone/Fax

Practice location:
  • Phone: 914-787-4100
  • Fax: 914-787-4199
Mailing address:
  • Phone: 914-787-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number275609
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number89985562
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: