Provider Demographics
NPI:1942487632
Name:YUNG, YEE CHI
Entity Type:Individual
Prefix:MR
First Name:YEE CHI
Middle Name:
Last Name:YUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-1203
Mailing Address - Country:US
Mailing Address - Phone:516-248-3531
Mailing Address - Fax:516-248-3536
Practice Address - Street 1:410 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-1203
Practice Address - Country:US
Practice Address - Phone:516-248-3531
Practice Address - Fax:516-248-3536
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist