Provider Demographics
NPI:1700836020
Name:YUEN, TSUI (PA)
Entity Type:Individual
Prefix:
First Name:TSUI
Middle Name:
Last Name:YUEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PELHAM PKWY S
Mailing Address - Street 2:MEDICAL STAFF/DEPT OF ER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1138
Mailing Address - Country:US
Mailing Address - Phone:845-553-0739
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PARKWAY
Practice Address - Street 2:MEDICAL STAFF/DEPT OF EMERGENCY MEDICINE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10761-1543
Practice Address - Country:US
Practice Address - Phone:201-857-2773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00138000363A00000X
NY009526363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q16283Medicare UPIN
NJ089382Medicare ID - Type Unspecified