Healthcare Provider Details

I. General information

NPI: 1538341631
Provider Name (Legal Business Name): BRIAN ALBERT YEUNG PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 09/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 GREENWICH ST
NEW YORK NY
10013-2332
US

IV. Provider business mailing address

352 GREENWICH ST
NEW YORK NY
10013-2332
US

V. Phone/Fax

Practice location:
  • Phone: 212-406-3700
  • Fax:
Mailing address:
  • Phone: 212-406-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number049857
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: