Healthcare Provider Details

I. General information

NPI: 1518639277
Provider Name (Legal Business Name): WINNIE YU DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 E 40TH ST STE 1200
NEW YORK NY
10016-0402
US

IV. Provider business mailing address

9 E 40TH ST STE 1200
NEW YORK NY
10016-0402
US

V. Phone/Fax

Practice location:
  • Phone: 646-596-7427
  • Fax: 646-358-3443
Mailing address:
  • Phone: 646-596-7427
  • Fax: 646-358-3443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number047903
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: