Healthcare Provider Details

I. General information

NPI: 1003779158
Provider Name (Legal Business Name): YAN TO LUI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118-120 BAXTER STREET
NEW YORK NY
10013
US

IV. Provider business mailing address

118-120 BAXTER STREET
NEW YORK NY
10013
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-1353
  • Fax: 212-202-3538
Mailing address:
  • Phone: 212-226-1353
  • Fax: 212-202-3538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: