Provider Demographics
NPI:1821400607
Name:BURG, YUNA (SPECIAL INSTROCTOR)
Entity type:Individual
Prefix:
First Name:YUNA
Middle Name:
Last Name:BURG
Suffix:
Gender:F
Credentials:SPECIAL INSTROCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65-61 SAUNDER STREET, APT. 1I
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:347-613-9065
Mailing Address - Fax:
Practice Address - Street 1:116-66 PARKLANE SOUTH
Practice Address - Street 2:UNITED STATES OF AMERICA
Practice Address - City:RICHMOND HILL
Practice Address - State:NE
Practice Address - Zip Code:11418
Practice Address - Country:US
Practice Address - Phone:718-850-2934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist