Provider Demographics
NPI:1932217718
Name:YUE, MING KI (DO)
Entity Type:Individual
Prefix:MR
First Name:MING
Middle Name:KI
Last Name:YUE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13333 39TH AVE
Mailing Address - Street 2:#F22 FLUSHING MALL
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4432
Mailing Address - Country:US
Mailing Address - Phone:718-888-2691
Mailing Address - Fax:718-888-2691
Practice Address - Street 1:13333 39TH AVE
Practice Address - Street 2:#F22 FLUSHING MALL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4432
Practice Address - Country:US
Practice Address - Phone:718-888-2691
Practice Address - Fax:718-888-2691
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY005285-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01068982040Medicaid