Individual
YONG N WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 LAKE ST, NEWBURGH, NY 12550-5243
(845) 565-8022
(845) 565-6349
Mailing address
2 COATES DR, GOSHEN, NY 10924-6758
(845) 651-1400
(845) 651-1512
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
226417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400054926
MEDICARE
—
Enumeration date
05/10/2006
Last updated
09/27/2012
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