Provider Demographics
NPI:1184325722
Name:LO, JOYCE YIK
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:YIK
Last Name:LO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YIK CHI
Other - Middle Name:
Other - Last Name:LO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2559 E 22ND ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2503
Mailing Address - Country:US
Mailing Address - Phone:646-301-3016
Mailing Address - Fax:
Practice Address - Street 1:2559 E 22ND ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2503
Practice Address - Country:US
Practice Address - Phone:646-301-3016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist