Provider Demographics
NPI:1134343890
Name:YAO, WENHU
Entity type:Individual
Prefix:MR
First Name:WENHU
Middle Name:
Last Name:YAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 SPRINGFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GDNS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1345
Mailing Address - Country:US
Mailing Address - Phone:718-225-2866
Mailing Address - Fax:
Practice Address - Street 1:14614 35TH AVE
Practice Address - Street 2:SUITE#MD1, 3
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3786
Practice Address - Country:US
Practice Address - Phone:718-321-8522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001586171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist