Provider Demographics
NPI:1235201492
Name:TANG, YORK YU PERNG
Entity Type:Individual
Prefix:DR
First Name:YORK
Middle Name:YU PERNG
Last Name:TANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 108TH ST
Mailing Address - Street 2:SUITE #12
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11378-3852
Mailing Address - Country:US
Mailing Address - Phone:718-520-8432
Mailing Address - Fax:
Practice Address - Street 1:6910 108TH ST
Practice Address - Street 2:SUITE #12
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11378-3852
Practice Address - Country:US
Practice Address - Phone:718-520-8432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist