Provider Demographics
NPI:1245688985
Name:YEN HOONG OOI MD PLLC
Entity type:Organization
Organization Name:YEN HOONG OOI MD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YEN HOONG
Authorized Official - Middle Name:
Authorized Official - Last Name:OOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-703-4194
Mailing Address - Street 1:762 59TH ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3936
Mailing Address - Country:US
Mailing Address - Phone:917-338-6688
Mailing Address - Fax:347-284-6423
Practice Address - Street 1:762 59TH ST
Practice Address - Street 2:SUITE 7
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3936
Practice Address - Country:US
Practice Address - Phone:917-338-6688
Practice Address - Fax:347-284-6423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270528208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03424908Medicare PIN