Provider Demographics
NPI:1720731656
Name:YUEN PODIATRY PC
Entity Type:Organization
Organization Name:YUEN PODIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHING
Authorized Official - Middle Name:CHEUNG
Authorized Official - Last Name:YUEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:347-776-4080
Mailing Address - Street 1:8510 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5218
Mailing Address - Country:US
Mailing Address - Phone:646-520-7027
Mailing Address - Fax:929-242-4312
Practice Address - Street 1:8510 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5218
Practice Address - Country:US
Practice Address - Phone:646-520-7027
Practice Address - Fax:929-242-4312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007027OtherLICENSE