Healthcare Provider Details

I. General information

NPI: 1952577736
Provider Name (Legal Business Name): SOOK YEE YEUNG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 CANAL ST
NEW YORK NY
10013-3599
US

IV. Provider business mailing address

125 WALKER ST FL 2
NEW YORK NY
10013-4135
US

V. Phone/Fax

Practice location:
  • Phone: 212-941-2213
  • Fax: 212-941-2180
Mailing address:
  • Phone: 212-226-8866
  • Fax: 212-226-2289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080842
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: