Provider Demographics
NPI:1508478884
Name:YONG, LAM FOONG (MHC-LP)
Entity Type:Individual
Prefix:MR
First Name:LAM
Middle Name:FOONG
Last Name:YONG
Suffix:
Gender:M
Credentials:MHC-LP
Other - Prefix:
Other - First Name:JUSTIN
Other - Middle Name:LAM FOONG
Other - Last Name:YONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHC
Mailing Address - Street 1:34 W 22ND ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5805
Mailing Address - Country:US
Mailing Address - Phone:917-727-8362
Mailing Address - Fax:
Practice Address - Street 1:34 W 22ND ST STE 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5805
Practice Address - Country:US
Practice Address - Phone:813-389-1788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1230793181101YS0200X
NY1810657601101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool