MEDICARE: DR. JASON J YU M.D.

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
1	208VP0014X	Interventional Pain Medicine Physician	269425	NY

General Provider Information

NPI Number	:	1669609996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON J YU M.D.

Provider Business Mailing Address
First Line	:	3712 PRINCE ST STE 3B
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-4650
Country	:	US
Telephone Number	:	866-777-3798
Fax Number	:	866-329-3798

Provider Business Practice Location Address
First Line	:	3712 PRINCE ST STE 3B
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-4650
Country	:	US
Telephone Number	:	866-777-3798
Fax Number	:	866-329-3798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2009
Last Update Date	:	02/20/2024

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