Provider Demographics
NPI:1386863389
Name:MA, YEOU-CHENG M (MD)
Entity type:Individual
Prefix:DR
First Name:YEOU-CHENG
Middle Name:M
Last Name:MA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6503 180TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2139
Mailing Address - Country:US
Mailing Address - Phone:718-939-7024
Mailing Address - Fax:718-939-7024
Practice Address - Street 1:1410 PELHAM PKWY S
Practice Address - Street 2:STE 112
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1116
Practice Address - Country:US
Practice Address - Phone:718-430-8600
Practice Address - Fax:718-896-2296
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1391022080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities