Provider Demographics
NPI:1700372489
Name:YEUNG, KA SIN (RPH)
Entity Type:Individual
Prefix:MS
First Name:KA
Middle Name:SIN
Last Name:YEUNG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 ELM ST
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-4233
Mailing Address - Country:US
Mailing Address - Phone:203-931-9478
Mailing Address - Fax:203-937-1131
Practice Address - Street 1:460 ELM ST
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-4233
Practice Address - Country:US
Practice Address - Phone:203-931-9478
Practice Address - Fax:203-937-1131
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0009676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0009676OtherCT LICENSE