Provider Demographics
NPI:1154630952
Name:YU, LILIAN C
Entity Type:Individual
Prefix:MS
First Name:LILIAN
Middle Name:C
Last Name:YU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6712 YELLOWSTONE BLVD
Mailing Address - Street 2:#G6
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2353
Mailing Address - Country:US
Mailing Address - Phone:212-920-5887
Mailing Address - Fax:
Practice Address - Street 1:6712 YELLOWSTONE BLVD
Practice Address - Street 2:#G6
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2353
Practice Address - Country:US
Practice Address - Phone:212-920-5887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program