Healthcare Provider Details

I. General information

NPI: 1609780980
Provider Name (Legal Business Name): MEILI LEUNG PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 QUEENS ST STE 106
SYOSSET NY
11791-3058
US

IV. Provider business mailing address

70 ASHBURTON AVE APT 7J
YONKERS NY
10701-3179
US

V. Phone/Fax

Practice location:
  • Phone: 844-263-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberP146357
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: