Healthcare Provider Details

I. General information

NPI: 1659479525
Provider Name (Legal Business Name): KIN LUI YAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 KNOLLCROFT RD. VA HEALTH CARE SYSTEM
LYONS NJ
07839-5001
US

IV. Provider business mailing address

10 KURT DRIVE,
FLANDERS NJ
07836
US

V. Phone/Fax

Practice location:
  • Phone: 908-647-0180
  • Fax:
Mailing address:
  • Phone: 973-927-0286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number25MA03178600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: