Provider Demographics
NPI:1427064138
Name:AUNG, YE K (M,D)
Entity type:Individual
Prefix:
First Name:YE
Middle Name:K
Last Name:AUNG
Suffix:
Gender:M
Credentials:M,D
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY ROOM 2B230 DEPARTMENT OF MANAGED CARE
Mailing Address - Street 2:WOODHULL MEDICAL AND MENTAL HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8000
Mailing Address - Fax:718-630-3122
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:WOODHULL MEDICAL AND MENTAL HEALTH CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8000
Practice Address - Fax:718-975-0104
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2015-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY218758208000000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02333411Medicaid
NY02333411Medicaid