1861455263 NPI number — HUIYING YU MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861455263 NPI number — HUIYING YU MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

YU

Provider First Name:

HUIYING

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1861455263

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/23/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

1530 FRONT ST STE 400

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

EAST MEADOW

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

11554-2265

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

516-324-7500

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

200 OLD COUNTRY RD

Provider Second Line Business Practice Location Address:

SUITE 125

Provider Business Practice Location Address City Name:

MINEOLA

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

11501-4235

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

516-663-4528

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

04/08/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2084N0400X , with the licence number:  220029 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 174400000X , with the licence number: 220029-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 303795 . This is a "US FAMILY HEALTHPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 0910916006 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3001265 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 392291 . This is a "AETNA USHC (PPO)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 4C2425 . This is a "HEALTH NET (PHS)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 220029 . This is a "WORKER'S COMPENSATION" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P2664659 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 000000070762 . This is a "GHI (HMO)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 02310992 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 1118611 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 2187166 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 220029 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3066225 . This is a "AETNA USHC (HMO)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7R4041 . This is a "BLUE CHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 136244 . This is a "VYTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".