Provider Demographics
NPI:1821396581
Name:YAK-SING ONG, MD,PC
Entity Type:Organization
Organization Name:YAK-SING ONG, MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YAK-SING
Authorized Official - Middle Name:
Authorized Official - Last Name:ONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-859-5456
Mailing Address - Street 1:2419 GLENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-1147
Mailing Address - Country:US
Mailing Address - Phone:718-859-5456
Mailing Address - Fax:718-942-4226
Practice Address - Street 1:2419 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-1147
Practice Address - Country:US
Practice Address - Phone:718-859-5456
Practice Address - Fax:718-942-4226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117725207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0088968OtherGHI
NY2778306Other1199 NATIONAL BENEFIT
NY080215000048OtherFIDELIS CARE
NY623451OtherBLUECROSS & BLUE SHIELD
NY080215000048OtherFIDELIS CARE
NY623451Medicare PIN