Healthcare Provider Details

I. General information

NPI: 1134395668
Provider Name (Legal Business Name): YEE CHENG LOW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
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: 888-706-0477
Mailing address:
  • Phone: 631-338-0984
  • Fax: 888-706-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number264689
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD460311
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD460311
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number264689
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number264689
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: