# C & Y MEDICAL SERVICE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124172200
- **Authorized official:** MR. YUEGANG CHEN P.A.-C (PRESIDENT)
- **Authorized official phone:** (336) 793-4305

## Contact information

- **Practice address:** 3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
- **Practice address phone:** (336) 718-5000
- **Mailing address:** PO BOX 953908, LAKE MARY, FL 32795-3908
- **Mailing address phone:** (407) 328-0825
- **Mailing address fax:** (407) 322-5478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 104094 | NC | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020