Provider Demographics
NPI:1508217191
Name:YU, QI
Entity Type:Individual
Prefix:
First Name:QI
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 7TH AVE
Mailing Address - Street 2:APT:3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-2820
Mailing Address - Country:US
Mailing Address - Phone:646-683-1068
Mailing Address - Fax:212-265-2011
Practice Address - Street 1:1855 7TH AVE
Practice Address - Street 2:APT:3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2820
Practice Address - Country:US
Practice Address - Phone:646-683-1068
Practice Address - Fax:212-265-2011
Is Sole Proprietor?:No
Enumeration Date:2016-06-25
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005684171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist