Provider Demographics
NPI:1710696414
Name:TSE HO, LEUNG YUET (NP)
Entity Type:Individual
Prefix:
First Name:LEUNG YUET
Middle Name:
Last Name:TSE HO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 W 6TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2646
Mailing Address - Country:US
Mailing Address - Phone:212-300-3867
Mailing Address - Fax:
Practice Address - Street 1:749 61ST ST STE 401
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5163
Practice Address - Country:US
Practice Address - Phone:718-492-4170
Practice Address - Fax:718-492-4261
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310928363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health