Individual
YONGPENG GU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13668 ROOSEVELT AVE STE 4C, FLUSHING, NY 11354-5510
(917) 563-1697
(917) 563-1804
Mailing address
83 SOMERSET DR S, GREAT NECK, NY 11020-1821
(917) 563-1697
(917) 563-1804
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
270433
NY
Other
Enumeration date
06/12/2013
Last updated
09/21/2019
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