Individual
DR. YOUNG JOO YEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
452 SUFFOLK AVE, ACCESS/ACCESO, BRENTWOOD, NY 11717
(631) 436-6065
Mailing address
45 TIMBER RIDGE DR, COMMACK, NY 11725-1739
(631) 269-5197
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
130869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130869
NY STATE MEDICAL LICENSE
NY
Enumeration date
10/16/2006
Last updated
03/07/2023
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