Provider Demographics
NPI:1184223653
Name:SHEN, YU (LAC ,PHD)
Entity Type:Individual
Prefix:
First Name:YU
Middle Name:
Last Name:SHEN
Suffix:
Gender:M
Credentials:LAC ,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13915 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3352
Mailing Address - Country:US
Mailing Address - Phone:917-348-6457
Mailing Address - Fax:
Practice Address - Street 1:13915 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3352
Practice Address - Country:US
Practice Address - Phone:917-348-6457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist