Provider Demographics
NPI:1235583022
Name:YU, CHRISTINE (DPM)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 COLDEN ST STE 202A
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3981
Mailing Address - Country:US
Mailing Address - Phone:646-453-9516
Mailing Address - Fax:
Practice Address - Street 1:4231 COLDEN ST STE 202A
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3981
Practice Address - Country:US
Practice Address - Phone:718-886-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN007003213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery