Healthcare Provider Details

I. General information

NPI: 1265630792
Provider Name (Legal Business Name): NORA YEUNG M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 11/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 PARK AVE S 12TH FL
NEW YORK NY
10016-8404
US

IV. Provider business mailing address

230 2ND AVENUE 2ND FL
NEW YORK NY
10003
US

V. Phone/Fax

Practice location:
  • Phone: 212-679-3499
  • Fax:
Mailing address:
  • Phone: 212-979-4340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number002136
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: