Provider Demographics
NPI:1235688094
Name:LUO, YING
Entity Type:Individual
Prefix:
First Name:YING
Middle Name:
Last Name:LUO
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 1:217 GRAND ST
Mailing Address - Street 2:401
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4396
Mailing Address - Country:US
Mailing Address - Phone:212-965-1380
Mailing Address - Fax:
Practice Address - Street 1:217 GRAND ST
Practice Address - Street 2:401
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4396
Practice Address - Country:US
Practice Address - Phone:212-965-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307730363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health