Healthcare Provider Details

I. General information

NPI: 1023951209
Provider Name (Legal Business Name): YUTING YE MD, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1097 OLD COUNTRY RD STE 103
PLAINVIEW NY
11803-6505
US

IV. Provider business mailing address

10 BOND ST STE 382
GREAT NECK NY
11021-2454
US

V. Phone/Fax

Practice location:
  • Phone: 516-933-8003
  • Fax: 516-933-8005
Mailing address:
  • Phone: 516-933-8003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: YUTING YE
Title or Position: PRESIDENT
Credential: MD
Phone: 330-977-7098