Provider Demographics
NPI:1033657184
Name:YU, VERONICA (DDS)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W 71ST ST
Mailing Address - Street 2:APT 7C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4018
Mailing Address - Country:US
Mailing Address - Phone:203-623-7648
Mailing Address - Fax:
Practice Address - Street 1:140 W 71ST ST
Practice Address - Street 2:APT 7C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4018
Practice Address - Country:US
Practice Address - Phone:203-623-7648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program