Provider Demographics
NPI:1578795506
Name:KUO, YU JONG
Entity Type:Individual
Prefix:
First Name:YU JONG
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOKO
Other - Middle Name:
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:26 67TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-4308
Mailing Address - Country:US
Mailing Address - Phone:917-650-3883
Mailing Address - Fax:
Practice Address - Street 1:124 E 40TH ST
Practice Address - Street 2:SUITE 1002
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1723
Practice Address - Country:US
Practice Address - Phone:917-650-3883
Practice Address - Fax:347-572-0402
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-08
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004069171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist