Provider Demographics
NPI:1609120898
Name:YUGE MEDICAL, PC
Entity Type:Organization
Organization Name:YUGE MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:G
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-763-0063
Mailing Address - Street 1:340 EAST 23RD STREET
Mailing Address - Street 2:STE 12M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4752
Mailing Address - Country:US
Mailing Address - Phone:848-863-8700
Mailing Address - Fax:732-387-0083
Practice Address - Street 1:45 PARK AVE
Practice Address - Street 2:SUITE 1202
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3487
Practice Address - Country:US
Practice Address - Phone:347-763-0063
Practice Address - Fax:347-763-0276
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YUGE MEDICAL PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-09
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty