Provider Demographics
NPI:1063757821
Name:YONG, RAYMUND LEE-MING (MD, MS)
Entity type:Individual
Prefix:
First Name:RAYMUND
Middle Name:LEE-MING
Last Name:YONG
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1136
Mailing Address - Street 2:MOUNT SINAI DEPARTMENT OF NEUROSURGERY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-0312
Mailing Address - Country:US
Mailing Address - Phone:212-241-5493
Mailing Address - Fax:212-831-3324
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-5493
Practice Address - Fax:212-831-3324
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ZZ22743207T00000X
NY268387207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03604271Medicaid
NY03604271Medicaid