Provider Demographics
NPI:1578723458
Name:KU, CHIA-YU SHERRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHIA-YU
Middle Name:SHERRY
Last Name:KU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:KU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:54 WHIPPOORWILL XING
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1033
Mailing Address - Country:US
Mailing Address - Phone:914-273-2807
Mailing Address - Fax:914-273-2807
Practice Address - Street 1:155 E 38TH ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-682-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY520590122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist