MEDICARE: YVONNE FANG HUA

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
1	171100000X	Acupuncturist	007364	NY
2	225700000X	Massage Therapist	034018	NY

General Provider Information

NPI Number	:	1386428464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE FANG HUA

Provider Business Mailing Address
First Line	:	11145 76TH DR APT B6
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7022
Country	:	US
Telephone Number	:	646-323-7370
Fax Number	:

Provider Business Practice Location Address
First Line	:	11145 76TH DR APT B6
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7022
Country	:	US
Telephone Number	:	646-323-7370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	10/23/2025

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Directions to “ YVONNE FANG HUA ” Practice Location

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