Provider Demographics
NPI:1407270390
Name:YUEN, KINGSTON (PHARM D)
Entity Type:Individual
Prefix:
First Name:KINGSTON
Middle Name:
Last Name:YUEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W 34TH ST
Mailing Address - Street 2:1 PENN PLAZA
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10119-0002
Mailing Address - Country:US
Mailing Address - Phone:212-760-1242
Mailing Address - Fax:212-760-0158
Practice Address - Street 1:250 W 34TH ST
Practice Address - Street 2:1 PENN PLAZA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119-0002
Practice Address - Country:US
Practice Address - Phone:212-760-1242
Practice Address - Fax:212-760-0158
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058997183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist