Healthcare Provider Details

I. General information

NPI: 1780997692
Provider Name (Legal Business Name): CHIU YEUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID YEUNG

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 07/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14015B SANFORD AVE, 2ND FL
FLUSHING NY
11355-2557
US

IV. Provider business mailing address

14015B SANFORD AVE, 2ND FL
FLUSHING NY
11355-2557
US

V. Phone/Fax

Practice location:
  • Phone: 718-358-8288
  • Fax:
Mailing address:
  • Phone: 718-358-8288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: