Provider Demographics
NPI:1376555102
Name:YU, YANPING (MD)
Entity Type:Individual
Prefix:DR
First Name:YANPING
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 ROUTE 25A
Mailing Address - Street 2:SUITE B1
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2050
Mailing Address - Country:US
Mailing Address - Phone:631-331-4403
Mailing Address - Fax:631-331-1932
Practice Address - Street 1:701 ROUTE 25A
Practice Address - Street 2:SUITE B1
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2050
Practice Address - Country:US
Practice Address - Phone:631-331-4403
Practice Address - Fax:631-331-1932
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224164207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY446N52OtherEMPIRE BCBS
NY02743442Medicaid
NY145568OtherVYTRA
NY434N71Medicare ID - Type Unspecified
NY02743442Medicaid