Healthcare Provider Details

I. General information

NPI: 1720376056
Provider Name (Legal Business Name): KATHERINE YAU O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 MADISON AVE FL 2
NEW YORK NY
10016-0069
US

IV. Provider business mailing address

185 MADISON AVE FL 2
NEW YORK NY
10016-0069
US

V. Phone/Fax

Practice location:
  • Phone: 212-213-3737
  • Fax: 212-213-3787
Mailing address:
  • Phone: 212-213-3737
  • Fax: 212-213-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number007740
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: