MEDICARE: MS. PO-HONG 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	004622	NY

General Provider Information

NPI Number	:	1952685042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PO-HONG YU L.AC.

Provider Business Mailing Address
First Line	:	790 WASHINGTON AVE
Second Line	:	APT 2B
City	:	BROOKLYN
State	:	NY
Zip	:	11238-7706
Country	:	US
Telephone Number	:	215-435-0804
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 PLAZA ST E
Second Line	:	SUITE 1A
City	:	BROOKLYN
State	:	NY
Zip	:	11238-5048
Country	:	US
Telephone Number	:	215-435-0804
Fax Number	:

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

Provider Enumeration Date	:	10/06/2011
Last Update Date	:	10/06/2011

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