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Individual

LISA YEUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
50 E 168TH ST, BRONX, NY 10452-7929
(718) 293-3900
Mailing address
50 E 168TH ST, BRONX, NY 10452-7929
(718) 293-3900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
265247
MA
207Q00000X
Family Medicine Physician
Primary
284686
NY
390200000X
Student in an Organized Health Care Education/Training Program
252412
MA

Other

Enumeration date
05/25/2012
Last updated
09/21/2016
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