Provider Demographics
NPI:1346313574
Name:LU, JYH-HAUR (MD)
Entity Type:Individual
Prefix:
First Name:JYH-HAUR
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3916 PRINCE ST
Mailing Address - Street 2:SUITE 254
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5361
Mailing Address - Country:US
Mailing Address - Phone:646-409-4402
Mailing Address - Fax:718-888-9025
Practice Address - Street 1:3916 PRINCE ST
Practice Address - Street 2:SUITE 254
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5361
Practice Address - Country:US
Practice Address - Phone:646-409-4402
Practice Address - Fax:718-888-9025
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2016-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY225262-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I02986Medicare UPIN
535N510Medicare ID - Type Unspecified