Healthcare Provider Details

I. General information

NPI: 1043948367
Provider Name (Legal Business Name): CELINE YEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2022
Last Update Date: 08/14/2022
Certification Date: 08/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLENTANGY RIVER RD STE 3200
COLUMBUS OH
43212-3167
US

IV. Provider business mailing address

720 W 3RD AVE APT 110
COLUMBUS OH
43212-3143
US

V. Phone/Fax

Practice location:
  • Phone: 614-366-4263
  • Fax:
Mailing address:
  • Phone: 614-266-8261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number57.251993
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: