Healthcare Provider Details

I. General information

NPI: 1255264743
Provider Name (Legal Business Name): KAILIN YU
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

281 HUDSON ST
NEW YORK NY
10013-1412
US

IV. Provider business mailing address

1369 79TH ST
BROOKLYN NY
11228-2709
US

V. Phone/Fax

Practice location:
  • Phone: 917-694-8620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number356933
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: