Provider Demographics
NPI:1629098207
Name:YU, SHICK (MD)
Entity Type:Individual
Prefix:
First Name:SHICK
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:95 GRASSLANDS RD-NYMC
Mailing Address - Street 2:DEPT OF MEDICINE-MUNGER PAVILION
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-8370
Mailing Address - Fax:914-594-4434
Practice Address - Street 1:311 NORTH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2217
Practice Address - Country:US
Practice Address - Phone:914-681-0926
Practice Address - Fax:914-681-1354
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2008-02-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY207658207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01982498Medicaid
YS7658OtherATLANTIS
NY842992OtherBCBS OF NY WHITE PLAINS
P1900057OtherOXFORD
500636OtherMVP
NY00000051811OtherGHI HMO
5C5581OtherHEALTHNET
NY2302391OtherAETNA HMO
NY2596330OtherGHI PPO
NY7844045OtherAETNA PPO