Provider Demographics
NPI:1659561231
Name:YU, ERIN (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2037
Mailing Address - Country:US
Mailing Address - Phone:516-255-2020
Mailing Address - Fax:516-255-1818
Practice Address - Street 1:40 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2037
Practice Address - Country:US
Practice Address - Phone:516-255-2020
Practice Address - Fax:516-255-1818
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV0066671152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist