Provider Demographics
NPI:1902130628
Name:LUO, YONG (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:YONG
Middle Name:
Last Name:LUO
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 UNION ST
Mailing Address - Street 2:STE 7C
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5672
Mailing Address - Country:US
Mailing Address - Phone:718-445-5705
Mailing Address - Fax:718-886-7466
Practice Address - Street 1:3808 UNION ST
Practice Address - Street 2:STE 7C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5672
Practice Address - Country:US
Practice Address - Phone:718-475-9606
Practice Address - Fax:718-475-9607
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267414207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy