Provider Demographics
NPI:1164545091
Name:YEUNG, YEE CHONG (RPH)
Entity Type:Individual
Prefix:
First Name:YEE CHONG
Middle Name:
Last Name:YEUNG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8363 LEWISTON RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1236
Mailing Address - Country:US
Mailing Address - Phone:585-345-0401
Mailing Address - Fax:585-344-2813
Practice Address - Street 1:8363 LEWISTON RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1236
Practice Address - Country:US
Practice Address - Phone:585-345-0401
Practice Address - Fax:585-344-2813
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016206183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist