Healthcare Provider Details

I. General information

NPI: 1679406169
Provider Name (Legal Business Name): CHING YEE NANCY WU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2336 E 29TH ST
BROOKLYN NY
11229-5028
US

IV. Provider business mailing address

2336 E 29TH ST
BROOKLYN NY
11229-5028
US

V. Phone/Fax

Practice location:
  • Phone: 347-510-2058
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: