Healthcare Provider Details

I. General information

NPI: 1356427751
Provider Name (Legal Business Name): WILLIAM K YU D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 SYLVAN AVE STE 1E
ENGLEWOOD CLIFFS NJ
07632-2417
US

IV. Provider business mailing address

44 SYLVAN AVE STE 1E
ENGLEWOOD CLIFFS NJ
07632-2417
US

V. Phone/Fax

Practice location:
  • Phone: 201-944-5999
  • Fax:
Mailing address:
  • Phone: 201-944-5999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number38MC00507000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: