Healthcare Provider Details

I. General information

NPI: 1851073787
Provider Name (Legal Business Name): SARAH EMILY YEUNG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 HAMILTON ST STE 111
ALLENTOWN PA
18104-6329
US

IV. Provider business mailing address

2200 HAMILTON ST STE 111
ALLENTOWN PA
18104-6329
US

V. Phone/Fax

Practice location:
  • Phone: 610-821-8321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA064711
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: