MEDICARE: DR. AMY KATHRYN YEUNG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	258473	MA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	258473	MA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207RP1001X	Pulmonary Disease Physician	258473	MA

General Provider Information

NPI Number	:	1295034429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY KATHRYN YEUNG MD

Provider Business Mailing Address
First Line	:	55 FRUIT ST COX 201-B
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02114
Country	:	US
Telephone Number	:	617-726-1721
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST # BB-527
Second Line	:	BOX 356421
City	:	SEATTLE
State	:	WA
Zip	:	98195-6421
Country	:	US
Telephone Number	:	206-543-3605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2011
Last Update Date	:	04/07/2026

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