Provider Demographics
NPI:1699826156
Name:YAU, PATRICIA S (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:S
Last Name:YAU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 BENHAM ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1613
Mailing Address - Country:US
Mailing Address - Phone:917-579-6436
Mailing Address - Fax:
Practice Address - Street 1:230 W 41ST ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-7207
Practice Address - Country:US
Practice Address - Phone:212-398-9690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2008-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0507971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice