Provider Demographics
NPI:1255545059
Name:HOU, WEN-YU (MA PT)
Entity type:Individual
Prefix:MR
First Name:WEN-YU
Middle Name:
Last Name:HOU
Suffix:
Gender:M
Credentials:MA PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10848 70TH RD
Mailing Address - Street 2:#14K
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3961
Mailing Address - Country:US
Mailing Address - Phone:718-263-0688
Mailing Address - Fax:718-263-0688
Practice Address - Street 1:10848 70TH RD
Practice Address - Street 2:#14K
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3961
Practice Address - Country:US
Practice Address - Phone:718-263-0688
Practice Address - Fax:718-263-0688
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0146542251P0200X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01676860Medicaid