MEDICARE: YONGPING YU L. AC

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	003078	NY

General Provider Information

NPI Number	:	1619192887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONGPING YU L. AC

Provider Business Mailing Address
First Line	:	PO BOX 521441
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11352-1441
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13336 41ST RD # 1J
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-3666
Country	:	US
Telephone Number	:	718-888-0051
Fax Number	:

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

Provider Enumeration Date	:	04/14/2007
Last Update Date	:	07/08/2007

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