Provider Demographics
NPI:1508979378
Name:LING, YUKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:YUKLIN
Middle Name:
Last Name:LING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 HUNGRY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6195
Mailing Address - Country:US
Mailing Address - Phone:845-356-8494
Mailing Address - Fax:845-356-8468
Practice Address - Street 1:241 HUNGRY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-6111
Practice Address - Country:US
Practice Address - Phone:845-356-8494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYBL6495712208D00000X
NJ25MA07745100207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0104566Medicaid
H06058Medicare UPIN