| Doctor Name: | YUK LAN PENG |
| NPI Number: | 1821343252 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 023204 |
| Business Practice Address: | 236 2nd Avenue Ny, NY - 10003 |
| Business Phone Number: | 9173622226 |
| Business Fax Number: | |
| Mailing Address: | 5108 6th Ave, 1st Floor BROOKLYN |
| State: | NY |
| Postal Code: | 112201698 |
| Phone Number: | 9173622226 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2012 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 023204 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |