Provider Demographics
NPI:1861827610
Name:YU, LIHYANG (LAC)
Entity Type:Individual
Prefix:
First Name:LIHYANG
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:45 E CENTRAL BLVD
Mailing Address - Street 2:UNIT A
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650
Mailing Address - Country:US
Mailing Address - Phone:201-815-7070
Mailing Address - Fax:201-585-7070
Practice Address - Street 1:1 ROCKLAND PARK AVE UNIT C
Practice Address - Street 2:
Practice Address - City:TAPPAN
Practice Address - State:NY
Practice Address - Zip Code:10983-2617
Practice Address - Country:US
Practice Address - Phone:201-815-7070
Practice Address - Fax:201-585-7070
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005039171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist