Healthcare Provider Details

I. General information

NPI: 1760607592
Provider Name (Legal Business Name): HOKUN YEU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 CONVENT ROAD
ORANGEBURG NY
10962
US

IV. Provider business mailing address

108 BELLEVUE RD
HIGHLAND NY
12528-1106
US

V. Phone/Fax

Practice location:
  • Phone: 845-359-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number117990
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: