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NPI Code Detail

MEDICARE: KATHLEEN J YU AUD

MEDICARE: KATHLEEN J YU AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist41YA00048200NJ

General Provider Information

NPI Number : 1336399575
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN J YU AUD
Provider Business Mailing Address
First Line : PO BOX 23861
Second Line :
City : NEWARK
State : NJ
Zip : 07189-0861
Country : US
Telephone Number : 201-692-0500
Fax Number : 201-836-7838
Provider Business Practice Location Address
First Line : 13-19 RIVER RD
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-1837
Country : US
Telephone Number : 201-703-6800
Fax Number : 201-703-6805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2008
Last Update Date : 07/02/2014

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