Provider Demographics
NPI:1558507269
Name:YONG, PETER YAU L (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:YAU L
Last Name:YONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:YAU LING
Other - Last Name:YONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:19 WESTMORELAND PLACE
Mailing Address - Street 2:
Mailing Address - City:DOUGLASTON
Mailing Address - State:NY
Mailing Address - Zip Code:11363
Mailing Address - Country:US
Mailing Address - Phone:212-227-3994
Mailing Address - Fax:212-227-3994
Practice Address - Street 1:8 CHATHAM SQUARE, SUITE 204
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-227-3994
Practice Address - Fax:212-227-3994
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119534208D00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice