Provider Demographics
NPI:1437141678
Name:YU, MANMAN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MANMAN
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-17 ELIZABETH ST LOWER LEVEL UNIT #10
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-925-6088
Mailing Address - Fax:212-925-5088
Practice Address - Street 1:13-17 ELIZABETH ST LOWER LEVEL UNIT #10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-925-6088
Practice Address - Fax:212-925-5088
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist