Healthcare Provider Details

I. General information

NPI: 1720731656
Provider Name (Legal Business Name): YUEN PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8510 QUEENS BLVD
ELMHURST NY
11373-5218
US

IV. Provider business mailing address

13516 ROOSEVELT AVE STE 3
FLUSHING NY
11354-5366
US

V. Phone/Fax

Practice location:
  • Phone: 646-520-7027
  • Fax: 929-242-4312
Mailing address:
  • Phone: 646-520-7027
  • Fax: 929-242-4312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SHING CHEUNG YUEN
Title or Position: PRESIDENT
Credential: DPM
Phone: 347-776-4080