Individual
ADA YEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
358 CHARLES AVE, MASSAPEQUA PARK, NY 11762-1601
(516) 313-9117
Mailing address
358 CHARLES AVE, MASSAPEQUA PARK, NY 11762-1601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
708897131
NY
174400000X
Specialist
Primary
923344151
NY
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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