1881978955 NPI number — JOANNE YUE YANG LOCK P.A.

Table of content: JOANNE YUE YANG LOCK P.A. (NPI 1881978955)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881978955 NPI number — JOANNE YUE YANG LOCK P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOCK
Provider First Name:
JOANNE
Provider Middle Name:
YUE YANG
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RONG
Provider Other First Name:
JOANNE
Provider Other Middle Name:
YUE YANG
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
P.A.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881978955
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/04/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40-26 COLLEGE PT BLVD
Provider Second Line Business Mailing Address:
15G
Provider Business Mailing Address City Name:
FLUSHING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11354
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-321-3262
Provider Business Mailing Address Fax Number:
718-321-3263

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40-26 COLLEGE PT BLVD
Provider Second Line Business Practice Location Address:
15G
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
929-719-0558
Provider Business Practice Location Address Fax Number:
718-321-3263
Provider Enumeration Date:
10/06/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 015037-1 . This is a "LICENSE NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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