Healthcare Provider Details

I. General information

NPI: 1104732635
Provider Name (Legal Business Name): YCL PLASTIC SURGERY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 PARK AVE STE 205
HUNTINGTON NY
11743-7527
US

IV. Provider business mailing address

89 ORANGE DR
JERICHO NY
11753-1529
US

V. Phone/Fax

Practice location:
  • Phone: 516-262-4947
  • Fax:
Mailing address:
  • Phone: 516-262-4947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: YEE CHENG LOW
Title or Position: DOCTOR
Credential: MD
Phone: 516-262-4947