Healthcare Provider Details

I. General information

NPI: 1831025733
Provider Name (Legal Business Name): WY NP IN FAMILY HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38-25 PARSONS BLVE 1G
FLUSHING NY
11354
US

IV. Provider business mailing address

38-25 PARSONS BLVE 1G
FLUSHING NY
11354
US

V. Phone/Fax

Practice location:
  • Phone: 718-353-4100
  • Fax: 718-939-5500
Mailing address:
  • Phone: 718-353-4100
  • Fax: 718-939-5500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YEON J ELEBIARY
Title or Position: NURSE PRACTIONER
Credential: NP
Phone: 646-417-4905