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NPI Code Detail

MEDICARE: JENNY YU

MEDICARE:   JENNY  YU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist061869NY

General Provider Information

NPI Number : 1588118657
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY YU
Provider Business Mailing Address
First Line : 2042 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3216
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2042 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3216
Country : US
Telephone Number : 718-266-1268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2016
Last Update Date : 08/06/2016

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Directions to “ JENNY YU ” Practice Location

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