Provider Demographics
NPI:1659877645
Name:YU, YONG (AP)
Entity Type:Individual
Prefix:MRS
First Name:YONG
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 FALCON POINT DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7544
Mailing Address - Country:US
Mailing Address - Phone:239-298-3353
Mailing Address - Fax:
Practice Address - Street 1:710 W PRINCETON ST STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5214
Practice Address - Country:US
Practice Address - Phone:239-298-3353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3874171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist