Provider Demographics
NPI:1083017966
Name:YUPO WELLNESS
Entity Type:Organization
Organization Name:YUPO WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHING PO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:212-343-7955
Mailing Address - Street 1:393 CANAL ST
Mailing Address - Street 2:LOWER LEVEL A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-1691
Mailing Address - Country:US
Mailing Address - Phone:212-343-7955
Mailing Address - Fax:
Practice Address - Street 1:393 CANAL ST
Practice Address - Street 2:LOWER LEVEL A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1691
Practice Address - Country:US
Practice Address - Phone:212-343-7955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004925171100000X
NY034946225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty