Provider Demographics
NPI:1821490343
Name:YANG, CHING-YING
Entity Type:Individual
Prefix:
First Name:CHING-YING
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6449 WETHEROLE ST
Mailing Address - Street 2:APT 7A
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4066
Mailing Address - Country:US
Mailing Address - Phone:718-310-7697
Mailing Address - Fax:
Practice Address - Street 1:6449 WETHEROLE ST
Practice Address - Street 2:APT 7A
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4066
Practice Address - Country:US
Practice Address - Phone:718-310-7697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018786-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist